Jennifer Linda Costa

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

839598-01 Issued in NY

Practice address

9 Driftwood LN
East Setauket, NY 11733-2627

Phone

(516) 449-9399

NPI assigned

Jun 10, 2022

Last updated

Jun 10, 2022By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1780314054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DRIFTWOOD LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332627",
            "telephone_number": "516-449-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DRIFTWOOD LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332627",
            "telephone_number": "516-449-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "JENNIFER",
        "middle_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "839598-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francine Connors
• Conscious Psychotherapy LCSW PC
• Joseph Michael Conti, PA-C
• Christine Conway, M.D.
• Daneille Marie Corda, MA
• Kathryn Elizabeth Cottell, RD
• Cesarina D Cowen, M.S.
• Patricia Coyle, M.D.
• Colleen Cracchiola, M.S CCC-SLP TSSLD
• Jessica Cree, R.N.

• Registered Nurse in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.