NPI Code Detail JSON Logo

1013682731 NPI number — ASHLEY TAYLOR COSTELLO PA-C

NPI Number: 1013682731
Health Care Provider/Practitioner: ASHLEY TAYLOR COSTELLO PA-C

Information about “1013682731” NPI (ASHLEY TAYLOR COSTELLO PA-C) exists in 1013682731 in HTML format HTML  |  1013682731 in plain Text format TXT  |  1013682731 in PDF (Portable Document Format) PDF  |  1013682731 in an XML format XML  formats.

NPI Number : 1013682731 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013682731",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COSTELLO",
    "FirstName": "ASHLEY",
    "MiddleName": "TAYLOR",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PACHECO",
    "OtherFirstName": "ASHLEY",
    "OtherMiddleName": "TAYLOR",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "360 US HIGHWAY 1 BYP UNIT 102",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTSMOUTH",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03801-7105",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-410-6700",
    "MailingAddressFaxNumber": "603-319-8308",
    "FirstLinePracticeLocationAddress": "40 DAVIS STRAITS",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FALMOUTH",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02540-3906",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "774-255-3010",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/13/2021",
    "LastUpdateDate": "09/30/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "PA8267",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.