Active NPI
Cynthia L. Costello, LPN
- Licensed Practical Nurse
- Wellsville, NY
National Provider Identifier
1780965483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 175219-1
- Practice address
- 2129 State Route 19
Park 2 Lot 49
Wellsville, NY 14895-9420 - Phone
- (585) 808-4740
- Fax
- (585) 593-3336
- NPI assigned
- Sep 8, 2011
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 175219-1 | NY | Primary |
Addresses
Primary practice location
2129 State Route 19
Park 2 Lot 49
Wellsville, NY 14895-9420
Mailing address
98 Pine St
Wellsville, NY 14895-1433
Phone (585) 593-3218
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 |
|---|---|---|---|
| 175219-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1780965483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 PINE ST",
"city": "WELLSVILLE",
"state": "NY",
"postal_code": "148951433",
"telephone_number": "585-593-3218",
"fax_number": "585-593-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 STATE ROUTE 19",
"address_2": "PARK 2 LOT 49",
"city": "WELLSVILLE",
"state": "NY",
"postal_code": "148959420",
"telephone_number": "585-808-4740",
"fax_number": "585-593-3336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "CYNTHIA",
"middle_name": "L.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "175219-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.