Individual provider Active NPI

Laura Costero

  • Family Nurse Practitioner
  • West Miami, FL
National Provider Identifier
1366871980
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3367272 Issued in FL
Practice address
8260 W Flagler St Ste 2I
West Miami, FL 33144-2069
Phone
(786) 715-9183
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP3367272 FL Primary

Addresses

Primary practice location

8260 W Flagler St Ste 2I
West Miami, FL 33144-2069

Mailing address

9009 Corporate Lake Dr
Suite 200
Tampa, FL 33634-2367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140730000992 FL Practitioner - Nurse Practitioner 0143446047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Gastro Group LLCGroup PAC ID 8729595251, 5 clinicians

Practice addresses (Care Compare)

8260 W Flagler St
Suite 1a
Miami, FL 33144-2069
Phone (786) 715-9183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Services - Surgical Division LLC CurrentSince May 11, 2023 Accepting new patients
House Calls Medical Care Current Accepting new patients

Locations

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1366871980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 CORPORATE LAKE DR",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST STE 2I",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "786-715-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTERO",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3367272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Miami, FL

Sources for this page

Verify at the official NPI Registry.