Active NPI
Jessica Costello
- Hearing Instrument Specialist
- Bardstown, KY
National Provider Identifier
1720848773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 290878
- Practice address
- 216 W John Fitch Ave
Bardstown, KY 40004-1115 - Phone
- (502) 348-4714
- Fax
- (502) 348-4716
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 290878 | KY | Primary |
Addresses
Primary practice location
216 W John Fitch Ave
Bardstown, KY 40004-1115
Mailing address
216 W John Fitch Ave
Bardstown, KY 40004-1115
Phone (502) 348-4714
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290878 | KY | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1720848773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 W JOHN FITCH AVE",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400041115",
"telephone_number": "502-348-4714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 W JOHN FITCH AVE",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400041115",
"telephone_number": "502-348-4714",
"fax_number": "502-348-4716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "KY",
"license": "290878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.