Active NPI
Marilyn Jane Kostelnik, A.R.N.P.
- Nurse Practitioner
- Corpus Christi, TX
National Provider Identifier
1508818105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 668490
- Practice address
- 6300 Ocean Dr
Unit 5715
Corpus Christi, TX 78412-5503 - Phone
- (281) 799-6724
- NPI assigned
- May 16, 2006
- Last updated
- Jun 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 668490 | TX | Primary |
Addresses
Primary practice location
6300 Ocean Dr
Unit 5715
Corpus Christi, TX 78412-5503
Mailing address
6300 Ocean Dr
Unit 5715
Corpus Christi, TX 78412-5503
Phone (281) 799-6724
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244592000000",
"number": "1508818105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 OCEAN DR",
"address_2": "UNIT 5715",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784125503",
"telephone_number": "281-799-6724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 OCEAN DR",
"address_2": "UNIT 5715",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784125503",
"telephone_number": "281-799-6724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTELNIK",
"first_name": "MARILYN",
"middle_name": "JANE",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2009-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "668490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.