Tabitha Rochelle Costigan

Primary specialty

AcupuncturistTaxonomy code 171100000X

Practice address

1421 SE Ankeny St
Portland, OR 97214-1471

Phone

(503) 284-7996

NPI assigned

Sep 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1770310401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SE 11TH AVE APT 512",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141393",
            "telephone_number": "503-888-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 SE ANKENY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141471",
            "telephone_number": "503-284-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTIGAN",
        "first_name": "TABITHA",
        "middle_name": "ROCHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Natalia Costello, RN
• Jason Richard Costello, LAC
• Mae Cecile Costello, L.AC.
• Nicole Costello
• Stephanie Costello, MSW
• Mackenzie Elizabeth Coston, CGC
• Laurice Tabitha Cota, RDH
• Gregory A Cote, MD, MS
• Krysten Cote, MA
• Kallie Cothern

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.