Individual provider Active NPI

Denise K Costa, B.S.

  • Case Manager/Care Coordinator
  • Key Largo, FL
National Provider Identifier
1306136114
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
99198 Overseas Hwy Ste 5
Key Largo, FL 33037-2437
Phone
(305) 451-8018
Fax
(305) 451-8019
NPI assigned
Apr 13, 2011
Sex
Female
Sole proprietor
No

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
Credentials
Bachelor of Science

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

99198 Overseas Hwy Ste 5
Key Largo, FL 33037-2437

Mailing address

99198 Overseas Hwy Ste 5
Key Largo, FL 33037-2437
Phone (305) 451-8018

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
060278700MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 13, 2011.

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1306136114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99198 OVERSEAS HWY STE 5",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372437",
            "telephone_number": "305-451-8018",
            "fax_number": "305-451-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99198 OVERSEAS HWY STE 5",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372437",
            "telephone_number": "305-451-8018",
            "fax_number": "305-451-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "DENISE",
        "middle_name": "K",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060278700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.