Patricia Costello, MS, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86314445 Issued in PA

Practice address

4 Creek Pkwy
Upper Chichester, PA 19061-3132

Phone

(610) 494-8700

NPI assigned

Jul 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Patricia Vinokurov Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Diamond Nutrition Counseling, Inc.Group PAC ID 0941637599, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Diamond Nutrition Counseling, Inc

  • Registered Dietitian
  • Upper Chichester, PA
  • NPI 1437794310

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1609556315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 CRANBERRY DR",
            "city": "WEST NORRITON",
            "state": "PA",
            "postal_code": "194035142",
            "telephone_number": "215-813-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CREEK PKWY",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190613132",
            "telephone_number": "610-494-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "PATRICIA",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007945",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "86314445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "VINOKUROV",
            "credential": "MS, RDN, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Felicia Clausen, LPN
• Reginald Combs Harris, MSW, LCSW
• Communities of Don Guanella and Divine Providence
• Alexis Conte
• Corelife Valley, LLC
• Diane Marie Coughlan, CRNP
• Susan D'Alessandris, OTR/L
• Kadiatou Dabo
• Joanne Damico, RPH
• Hayden Davis, OD

• Registered Dietitian in Upper Chichester, PA
• Providers in Upper Chichester, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.