Active NPI
Jamie Lynn Costello, RMT
- Massage Therapist
- Denver, CO
National Provider Identifier
1871840512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11048
- Practice address
- 4022 Tennyson St.
Denver, CO 80212-3935 - Phone
- (636) 297-5222
- NPI assigned
- Aug 13, 2012
- Last updated
- Sep 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 11048 | CO | Primary |
Addresses
Primary practice location
4022 Tennyson St.
Denver, CO 80212-3935
Mailing address
4022 Tennyson St.
Denver, CO 80212-3935
Phone (636) 297-5222
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 |
|---|---|---|---|
| 11048 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Community Wellness | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Acupuncturist
- Denver, CO
- NPI 1467779348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1871840512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4022 TENNYSON ST.",
"city": "DENVER",
"state": "CO",
"postal_code": "802123935",
"telephone_number": "636-297-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4022 TENNYSON ST.",
"city": "DENVER",
"state": "CO",
"postal_code": "802123935",
"telephone_number": "636-297-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "JAMIE",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "RMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "11048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.