Melissa W. Costello, RRT

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

6683 Issued in NC

Practice address

401 N Main St
Kenansville, NC 28349-8801

Phone

(910) 296-0941

NPI assigned

Apr 21, 2022

Last updated

Apr 21, 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 1

Addresses

Other names 1

• Melissa Lauren Watson Former name

Electronic endpoints 1

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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1174267793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 EVOLVE DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294693",
            "telephone_number": "919-262-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MAIN ST",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283498801",
            "telephone_number": "910-296-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "MELISSA",
        "middle_name": "W.",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NC",
            "license": "6683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa.costello@vidanthealth.com",
            "affiliation": "N",
            "address_1": "401 N Main St",
            "city": "Kenansville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283498801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "WATSON",
            "middle_name": "LAUREN",
            "credential": "RRT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony J Chung, M.D.
• Coastal Carolina Neuropsychiatric Crisis Services, PA
• Coastal Cove of Kenansville LLC
• Joseph Litton Cooper, M.D.
• Ruth Dail Cooper, FNP
• County of Duplin (Duplin County Department of Social Services)
• County of Duplin (Duplin County Health Services)
• County of Duplin (Duplin County Emergency Medical Services)
• County of Duplin (Duplin County Public Transportation)
• Anna Page Craft, NP

• Registered Respiratory Therapist in Kenansville, NC
• Providers in Kenansville, NC by specialty
• Registered Respiratory Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.