Individual provider Active NPI

Janine M Costelo, L.M.T.

  • Reflexologist
  • Bellevue, NE
National Provider Identifier
1205075751
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
2277 Issued in NE
Practice address
2211 Peoples Rd
Suite a, #6
Bellevue, NE 68005-4670
Phone
(402) 884-3464
Fax
(402) 884-3464
NPI assigned
Feb 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X 2277 NE Primary

Addresses

Primary practice location

2211 Peoples Rd
Suite a, #6
Bellevue, NE 68005-4670

Mailing address

2211 Peoples Rd
Suite a, #6
Bellevue, NE 68005-4670
Phone (402) 884-3464

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

State licenses

LicenseStateTypeSpecialty
2277NEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1205075751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 PEOPLES RD",
            "address_2": "SUITE A, #6",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680054670",
            "telephone_number": "402-884-3464",
            "fax_number": "402-884-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 PEOPLES RD",
            "address_2": "SUITE A, #6",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680054670",
            "telephone_number": "402-884-3464",
            "fax_number": "402-884-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELO",
        "first_name": "JANINE",
        "middle_name": "M",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "NE",
            "license": "2277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.