Active NPI
Susanna Marie Costello, ARNP
- Pediatric Nurse Practitioner
- Zephyrhills, FL
National Provider Identifier
1982162673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP11001077
- Practice address
- 38184 Medical Center Ave
Zephyrhills, FL 33540-1380 - Phone
- (813) 715-2812
- Fax
- (813) 715-2814
- NPI assigned
- Mar 12, 2019
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP11001077 | FL | Primary |
Addresses
Primary practice location
38184 Medical Center Ave
Zephyrhills, FL 33540-1380
Mailing address
1725 Oakwood CT
Lutz, FL 33558-5218
Phone (813) 267-7888
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 |
|---|---|---|---|
| ARNP11001077 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| After Hours Pediatrics, Inc. | 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 and National Provider Directory roles.
-
- Clinic/Center
- Tampa, FL
- NPI 1992746879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1982162673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 OAKWOOD CT",
"city": "LUTZ",
"state": "FL",
"postal_code": "335585218",
"telephone_number": "813-267-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38184 MEDICAL CENTER AVE",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335401380",
"telephone_number": "813-715-2812",
"fax_number": "813-715-2814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "SUSANNA",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-12",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP11001077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zephyrhills, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.