Jenifer Dalla Costa, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN86172 Issued in MA

Practice address

30 Elm Ave
Hyannis, MA 02601-5547

Phone

(508) 778-0300

Fax

(508) 778-0301

NPI assigned

Jan 7, 2011

Last updated

Jan 7, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Harbor Health Services

  • Dentist
  • Hyannis, MA
  • NPI 1801224704
  NPD (past)
• Harbor Health Services, Inc.

  dba Harbor Community Health Center, Plymouth

  • Community Health Clinic/Center
  • Plymouth, MA
  • NPI 1568892859
  NPD (past)

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1831493774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 MORTON ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262834",
            "telephone_number": "617-533-2300",
            "fax_number": "617-533-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ELM AVE",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015547",
            "telephone_number": "508-778-0300",
            "fax_number": "508-778-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLA COSTA",
        "first_name": "JENIFER",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN86172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen M Dahn, BA
• Elyse Hillary Daignault, LICSW
• Dal, Inc (Barnstable Family Chiropractic)
• Alice M Daley, MD
• Luke Francis Daley, MD
• Kathryn Haverington Dalton, D.O.
• Joanna Leigh Daluze, PT
• Christine Marie Daly, LICSW
• Helen M Dalzell, PA
• Matthew H Daniels

• Licensed Practical Nurse in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.