Individual provider Active NPI

Rachel Elizabeth Costa, BS/MS

  • Community Health Worker
  • Fishkill, NY
National Provider Identifier
1508092339
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
009903 Issued in NY
Practice address
16 Wedgewood Rd
Fishkill, NY 12524-1432
Phone
(845) 705-9174
NPI assigned
Jun 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 009903 NY Primary

Addresses

Primary practice location

16 Wedgewood Rd
Fishkill, NY 12524-1432

Mailing address

124 Elmcrest Dr
Fishkill, NY 12524-3322
Phone (845) 978-2343

Other practice location 1

309 Mill St Fl 2
Poughkeepsie, NY 12601-3115
Phone (845) 485-0086

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, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Beginnings Family Services,Inc Past Accepting new patients

Organizations & group practices 1

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": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1508092339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ELMCREST DR",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243322",
            "telephone_number": "845-978-2343",
            "fax_number": "845-485-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WEDGEWOOD RD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241432",
            "telephone_number": "845-705-9174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Mill St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126013115",
            "country_code": "US",
            "telephone_number": "845-485-0086",
            "fax_number": "845-485-4895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTA",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "BS/MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "009903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.