Individual provider Active NPI

Claudia Rachelle Costner

  • Licensed Practical Nurse
  • Buffalo, NY
National Provider Identifier
1831556810
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
322476-1 Issued in NY
Practice address
139 Hedwig Ave
Buffalo, NY 14211-2835
Phone
(716) 247-1055
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 322476-1 NY Primary

Addresses

Primary practice location

139 Hedwig Ave
Buffalo, NY 14211-2835

Mailing address

139 Hedwig Ave
Buffalo, NY 14211-2835
Phone (716) 247-1055

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

LicenseStateTypeSpecialty
322476-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1831556810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 HEDWIG AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142112835",
            "telephone_number": "716-247-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 HEDWIG AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142112835",
            "telephone_number": "716-247-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTNER",
        "first_name": "CLAUDIA",
        "middle_name": "RACHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "322476-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.