Allison Costa, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C08063 Issued in MD

Practice address

14995 Shady Grove Rd Ste 150
Rockville, MD 20850-8732

Phone

(301) 358-5919

NPI assigned

Apr 1, 2020

Last updated

Sep 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1629606835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14995 SHADY GROVE RD STE 150",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508732",
            "telephone_number": "301-358-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14995 SHADY GROVE RD STE 150",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508732",
            "telephone_number": "301-358-5919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45155 Research Pl Ste 140",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201474193",
            "country_code": "US",
            "telephone_number": "703-858-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTA",
        "first_name": "ALLISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-007985",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C08063",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kittrice Cosby
• Lauren Elise Cosgrove, MD
• Norisa Cosiem
• Cosmosid NGS Laboratory Services
• Emily Jeannine Cossaboon, AUD
• Joshua Paul Costa, PT DPT
• Taylor Costen
• Erica Costley
• Noemi Costlow
• Chamiara Coston

• Physician Assistant in Rockville, MD
• Providers in Rockville, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.