Active NPI
Candice Costello
- Registered Nurse First Assistant
- Colchester, VT
National Provider Identifier
1770189011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 026.0033197
- Practice address
- 593 Hercules Dr
Colchester, VT 05446-5993 - Phone
- (802) 488-5350
- NPI assigned
- Dec 10, 2020
- Last updated
- Dec 12, 2020
- 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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 026.0033197 | VT | Primary |
Addresses
Primary practice location
593 Hercules Dr
Colchester, VT 05446-5993
Mailing address
PO Box 235
Johnson, VT 05656-0235
Phone (802) 279-2755
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 |
|---|---|---|---|
| 026.0033197 | VT | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607731200000",
"number": "1770189011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235",
"city": "JOHNSON",
"state": "VT",
"postal_code": "056560235",
"telephone_number": "802-279-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 HERCULES DR",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054465993",
"telephone_number": "802-488-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "CANDICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-12",
"certification_date": "2020-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "VT",
"license": "026.0033197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colchester, VT
- Donald Wade Corbett
- Shari Lynne Corr, LM, CPM, CMT
- Costco Wholesale Corporation (Costco Optical #314)
- Costco Wholesale Corporation
- Costco Wholesale Corporation (Costco Hearing Aid #314)
- Counseling Connection Training Institute, PLC (Counseling Conection Training Institute, PLC)
- Counseling Connection Training Institute, PLC
- Counselor Grey LLC
- Ashley Elizabeth Couture, M.S., CCC-SLP
- Edwin Morton Cowey, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.