Active NPI
Regina Anne Costanzo, APA-C
- Physician Assistant
- Washington, DC
National Provider Identifier
1144882929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1650 17TH St NW
Washington, DC 20009-2434 - Phone
- (202) 757-2499
- NPI assigned
- Jul 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1650 17TH St NW
Washington, DC 20009-2434
Mailing address
1650 17TH St NW
Washington, DC 20009-2434
Phone (202) 757-2499
Other practice location 1
650 Huebner Rd
Fort Riley, KS 66442-4030
Phone (785) 239-7000
Other practice location 2
Bldg. 814 Marshall Dr
Fort Riley, KS 66442
Phone (785) 240-1125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164991 | Other | NCCPA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1144882929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 17TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200092434",
"telephone_number": "202-757-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 17TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200092434",
"telephone_number": "202-757-2499"
}
],
"practiceLocations": [
{
"address_1": "650 Huebner Rd",
"address_purpose": "LOCATION",
"city": "Fort Riley",
"state": "KS",
"postal_code": "664424030",
"country_code": "US",
"telephone_number": "785-239-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Bldg. 814 Marshall Dr",
"address_purpose": "LOCATION",
"city": "Fort Riley",
"state": "KS",
"postal_code": "66442",
"country_code": "US",
"telephone_number": "785-240-1125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSTANZO",
"first_name": "REGINA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "APA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-02",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA",
"identifier": "1164991",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.