Individual provider Active NPI

Andrea Coster, MBA, CRNFA

  • Registered Nurse First Assistant
  • Wildwood, MO
National Provider Identifier
1669646261
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
083239 Issued in MO
Practice address
2106 Hickory Summit CT
Wildwood, MO 63011-5402
Phone
(636) 405-2656
NPI assigned
Apr 15, 2008
Sex
Female
Sole proprietor
No

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)
Not enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
083239MOMDRegistered Nurse First Assistant

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 083239 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

2106 Hickory Summit CT
Wildwood, MO 63011-5402

Mailing address

2106 Hickory Summit CT
Wildwood, MO 63011-5402
Phone (636) 405-2656

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 15, 2008.

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1669646261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 HICKORY SUMMIT CT",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630115402",
            "telephone_number": "636-405-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 HICKORY SUMMIT CT",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630115402",
            "telephone_number": "636-405-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTER",
        "first_name": "ANDREA",
        "credential": "MBA, CRNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "083239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.