Active NPI
Lassalete G Costa, NP
- Nurse Practitioner
- Dartmouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 233949
- Practice address
- 531 Faunce Corner Rd
Dartmouth, MA 02747-1242 - Phone
- (508) 996-3991
- NPI assigned
- Oct 4, 2005
- 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 | 233949 | MA | Primary |
Addresses
Primary practice location
531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Mailing address
531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991
Other practice location 1
49 State Rd
Nauset Bldg Southcoast Primary Care Inc
N Dartmouth, MA 02747-3322
Phone (508) 991-2255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120314000203 | MA | Practitioner - Nurse Practitioner | 6800055658 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233949 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Lifespan Physician Group of Massachusetts Inc | Current | Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Past | Accepting new patients |
Locations
77 Warren St
Fl 5
Brighton, MA 02135
Phone (617) 254-3376
2991 Cranberry Hwy
#2F
East Wareham, MA 02538
851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445
535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0665
531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255
49 State Rd
North Dartmouth, MA 02747
Phone (508) 973-9240
Interoperability endpoints
- lassalete.costa.1@2017.direct.athenahealth.com
- lcosta235833@brownhealth.medalliesdirect.net
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Taunton, MA
- NPI 1235957713
MA
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
- Specialist
- Watertown, MA
- NPI 1629398219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1528055654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 FAUNCE CORNER RD",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027471242",
"telephone_number": "508-996-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 FAUNCE CORNER RD",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027471242",
"telephone_number": "508-996-3991"
}
],
"practiceLocations": [
{
"address_1": "49 State Rd",
"address_2": "Nauset Bldg Southcoast Primary Care Inc",
"address_purpose": "LOCATION",
"city": "N Dartmouth",
"state": "MA",
"postal_code": "027473322",
"country_code": "US",
"telephone_number": "508-991-2255",
"fax_number": "508-999-0387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSTA",
"first_name": "LASSALETE",
"middle_name": "G",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "233949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.