Deandrea Dacosta, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

617345 Issued in TX

Practice address

18514 Sonterra PL
San Antonio, TX 78258-4263

Phone

(210) 545-4800

NPI assigned

May 13, 2008

Last updated

Jan 18, 2012By 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

Enrolled in FL, GA, NC3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Medstreamline LLC

  • Clinical Cardiac Electrophysiology Physician
  • Charlotte, NC
  • NPI 1992451421

  FL, GA

  Medicare reassignment NPD
• Qualis Diagnostics LLC

  dba Concierge Diagnostics, Inc.

  • Mobile Radiology Clinic/Center
  • Miami, FL
  • NPI 1003343740
  NPD (past)

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1972770469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 SECRETARIAT DR",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781082325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18514 SONTERRA PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584263",
            "telephone_number": "210-545-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACOSTA",
        "first_name": "DEANDREA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "617345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ace Reese D'Spain
• D&R Medical Equipment & Distribution
• Ash M Dabbous, MD
• Suzanne M. Dabbous, M.D.
• Trinidad P Dacorte
• Matthew Dacso, M.D.
• Nazak Dadashazar, PH.D, LPC-S, MBA, NC
• Amira Dadzie
• Robert W Daehler, M.D.
• Keri Lillian Daggett, NNP-BC

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.