Joy L Costello, LPN
Individual provider Active NPI Licensed Practical Nurse · Pleasant City, OH
NPI 1124096938 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1124096938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN-111149 (OH)
- Practice address
- 17347 Pipa Rd
Pleasant City, OH 43772-9668 - Phone
- (740) 685-0854
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN-111149 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN-111149 | OH | Yes |
Addresses
Primary practice location
17347 Pipa Rd
Pleasant City, OH 43772-9668
Mailing address
17613 Easton Rd
Salesville, OH 43778-9878
Phone (740) 489-9248
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2364436 | Other | OH | PERSONAL PROVIDER NUMBER |
Other providers in Pleasant City, OH
All providers in Pleasant City, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.