Stevie Kostelnik

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

121 Downey Ave
Modesto, CA 95354-1208

Phone

(209) 341-1824

NPI assigned

Apr 25, 2019

Last updated

Mar 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1144884107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E MORRIS AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540437",
            "telephone_number": "209-558-7494",
            "fax_number": "209-558-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DOWNEY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541208",
            "telephone_number": "209-341-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTELNIK",
        "first_name": "STEVIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "CA",
            "license": "E2509194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Kornish
• Madison Koski
• Aine Marie Kosko, FNP-C
• Kelsey Alana Kosmadakis, NP
• Gordon Kost, RPH
• Kalyan Kosuri, M.D.
• Harsha Prafulkumar Kothiya, MBBS, MD
• Prafulkumar Maganbhai Kothiya, M.B.B.S;MD
• Michelle Sylvia Kottler, LVN
• Steven M. Kotzbauer, MD

• Case Manager/Care Coordinator in Modesto, CA
• Providers in Modesto, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.