Individual provider Active NPI

Laurie Anne Costa, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1700427531
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95012686 Issued in CA
Practice address
2382 Faraday Ave Ste 100
Carlsbad, CA 92008-7219
Phone
(858) 209-9871
Fax
(858) 939-1595
NPI assigned
Oct 2, 2019
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95012686 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95012686 CA Primary

Addresses

Primary practice location

2382 Faraday Ave Ste 100
Carlsbad, CA 92008-7219

Mailing address

2382 Faraday Ave Ste 100
Carlsbad, CA 92008-7219
Phone (858) 209-9871

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laurie@inspirepsychiatric.com Inspire Psychiatric Nursing Services Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191112001804 CA Practitioner - Nurse Practitioner 1355773409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspire Psychiatric Nursing Services IncGroup PAC ID 7012278625, 7 clinicians

Practice addresses (Care Compare)

2382 Faraday Ave
Suite 100
Carlsbad, CA 92008-7219
Phone (858) 209-9871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95012686CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lilium Psychiatric Nursing Services Inc Nurse Practitioner CurrentSince Apr 2, 2024 Accepting new patients
Inspire Psychiatric Nursing Services Inc Nurse Practitioner CurrentSince Oct 21, 2019 Accepting new patients

Locations

2382 Faraday Ave
Ste 100
Carlsbad, CA 92008
Phone (858) 209-9871

Interoperability endpoints

  • Direct secure messaging: laurie@inspirepsychiatric.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1700427531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2382 FARADAY AVE STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087219",
            "telephone_number": "858-209-9871",
            "fax_number": "858-939-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2382 FARADAY AVE STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087219",
            "telephone_number": "858-209-9871",
            "fax_number": "858-939-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "LAURIE",
        "middle_name": "ANNE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012686",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95012686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laurie@inspirepsychiatric.com",
            "affiliation": "Y",
            "affiliationName": "Inspire Psychiatric Nursing Services Inc",
            "address_1": "2382 Faraday Ave Ste 100",
            "city": "Carlsbad",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920087219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.