Anna Nicole Kostal, OTR/L

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

0119005513 Issued in VA

Practice address

693 Leesville Rd
Lynchburg, VA 24502-2828

Phone

(434) 200-5750

Fax

(434) 200-1662

NPI assigned

May 21, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1508245648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 LEESVILLE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022828",
            "fax_number": "434-200-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 LEESVILLE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022828",
            "telephone_number": "434-200-5750",
            "fax_number": "434-200-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTAL",
        "first_name": "ANNA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "VA",
            "license": "0119005513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleksandra Komogortseva, DMD
• Komorebi Psychotherapy, PLLC
• Peter L. Konieczny, M.D.
• Mary Koontz, RN, IBCLC
• Sharon J Kopis, FNP
• Sesha Krishna Kotapati, M.D.
• Jagan Kothapally, M.D.
• Amy Koudelka
• Steven Koziol, M.D.
• Kraderod LLC

• Occupational Medicine Clinic/Center in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Occupational Medicine Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.