Shelly Diane Kostiner, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024170176 Issued in VA

Practice address

17 Langley Blvd
Hampton, VA 23681-4430

Phone

(757) 864-3193

NPI assigned

Jul 16, 2012

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: skostinerauerbach11250@direct.rivhs.com

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.

• Johnson Venture Management Solutions, Inc.

  • Military Health Care Provider
  • Hampton, VA
  • NPI 1598375610
  NPD (past)

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1548515554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N LISMORE CT",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029434",
            "telephone_number": "757-287-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LANGLEY BLVD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236814430",
            "telephone_number": "757-864-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTINER",
        "first_name": "SHELLY",
        "middle_name": "DIANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024170176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia L Kokoris, PSY D
• Sudheer Konduru
• Darren C Koppel, M.D.
• Naa Akawa Koppoe-Clarke, MD
• Laura E Kostel, MSW LCSW BCD
• Tyler James Kragt, PSY.D.
• Kreative Counseling Group
• Kroger Limited Partnership I
• Scott Kruger, MD
• Susan L. Krupenevich, R.D., L.D.

• Adult Health Nurse Practitioner in Hampton, VA
• Providers in Hampton, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.