Active NPIIndividual provider

Kimberly J Costa, NP

Nurse Practitioner, Adult Health in Medford, Massachusetts

NPI Number1912957887
Practice location
101 Main St, Suite 214, Medford, MA 02155-4540
Fax
781-391-6224
Last updated
July 13, 2026

Kimberly J Costa is a Nurse Practitioner, Adult Health based in Medford, MA. Kimberly J Costa practices in Medford, MA and has the professional credentials of NP. The NPI Number for Kimberly J Costa is 1912957887 and holds a License No. 251684 (MA). The current practice location address for Kimberly J Costa is 101 Main St, Suite 214, Medford, MA 02155-4540 and can be reached out via phone at 781-391-3532 and via fax at 781-391-6224.

Provider Profile Details

NPI Number
1912957887
Provider Name
Kimberly J Costa
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
101 Main St, Suite 214, Medford, MA 02155-4540
Phone Number
781-391-3532
Fax Number
781-391-6224
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
May 11, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Main St
Suite 214
Medford, MA 02155-4540
Zip
02155-4540
Phone Number
781-391-3532
Fax Number
781-391-6224
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
101 Main St
Suite 214
Medford, MA 02155-4540
City
Medford
State
MA
Zip
02155-4540
Phone Number
781-391-3532
Fax Number
781-391-6224

License Information

License Number
251684
License State
MA
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly J Costa, NP?

The NPI number of Kimberly J Costa, NP is 1912957887. It was assigned on May 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Kimberly J Costa, NP?

Kimberly J Costa, NP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MA under license number 251684.

Where does Kimberly J Costa, NP practice?

The practice location is 101 Main St, Suite 214, Medford, MA 02155-4540. The office can be reached at 781-391-3532 (phone) or 781-391-6224 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912957887 directly on the NPPES registry website.

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