Fabiola Lucia Costello, FNP - BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R194692 Issued in MD

Practice address

10901 Connecticut Ave Ste 100
Kensington, MD 20895-1645

Phone

(240) 290-1041

Fax

(240) 290-1045

NPI assigned

Oct 8, 2015

Last updated

Feb 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fabiola.morales@ipeds.eclinicaldirectplus.com

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.

• International Family Medicine Inc

  • Internal Medicine Physician
  • Kensington, MD
  • NPI 1497532329

  DC

  Medicare reassignment NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• International Pediatrics, P a

  dba International Pediatrics

  • Pediatrics Physician
  • Gaithersburg, MD
  • NPI 1225849078
  NPD (past)
• International Pediatrics, P a

  • Pediatrics Physician
  • Kensington, MD
  • NPI 1235253485
  NPD (past)

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1780055491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 CONNECTICUT AVE",
            "address_2": "SUITE 100",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951645",
            "telephone_number": "240-290-1041",
            "fax_number": "240-290-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 CONNECTICUT AVE STE 100",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951645",
            "telephone_number": "240-290-1041",
            "fax_number": "240-290-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "FABIOLA",
        "middle_name": "LUCIA",
        "name_prefix": "Mrs.",
        "credential": "FNP - BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R194692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602602800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Underwood Copeland, LCMFT
• Ann Germaine Corbett, L.AC., M.AC.
• Raven Cord
• Cornerstone Montgomery, Inc.
• Steve Cortez
• Ashley C. Coulon, MA, ATR-BC, LPC
• Laurie Macdonald Crain, M.D.
• Crescent Urgent Health Care Service
• Cynthia Renee Cubbage, M.S.W. , LCSW-C
• Culture ABA LLC

• Family Nurse Practitioner in Kensington, MD
• Providers in Kensington, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.