Mary Jo D'Agostino, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024127880 Issued in VA

Practice address

1 Gooch Drive
College of William and Mary
Williamsburg, VA 23185-8795

Phone

(757) 221-4386

Fax

(757) 221-1245

NPI assigned

Aug 14, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1124210117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GOOCH DRIVE",
            "address_2": "STUDENT HEALTH CENTER",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231858795",
            "telephone_number": "757-221-4386",
            "fax_number": "757-221-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GOOCH DRIVE",
            "address_2": "COLLEGE OF WILLIAM AND MARY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231858795",
            "telephone_number": "757-221-4386",
            "fax_number": "757-221-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AGOSTINO",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024127880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Amanda Curtis, LCSW
• Laura Custance
• Haley Frances Cutler, M.S.
• Megan Cutler, NP
• D W Cherry DDS Fagd
• Tina Marie D'Amico, L.C.S.W.
• Marcia L Dadds, MS, RDN
• Cathy R. Dahl, PT
• Jennifer E Daly, PH.D.
• Tiffany Patrice Dancy, RBT

• All providers in Williamsburg, VA
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.