Active NPI
Christiane Costa, ARNP
- Nurse Practitioner
- Loxahatchee, FL
National Provider Identifier
1164239117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11036771
- Practice address
- 19199 Rolling Acres Rd
Loxahatchee, FL 33470-2165 - Phone
- (561) 843-5614
- NPI assigned
- Dec 13, 2024
- Last updated
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11036771 | FL | Primary |
Addresses
Primary practice location
19199 Rolling Acres Rd
Loxahatchee, FL 33470-2165
Mailing address
19199 Rolling Acres Rd
Loxahatchee, FL 33470-2165
Phone (561) 843-5614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11036771 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1164239117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19199 ROLLING ACRES RD",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334702165",
"telephone_number": "561-843-5614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19199 ROLLING ACRES RD",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334702165",
"telephone_number": "561-843-5614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "CHRISTIANE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-13",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11036771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.