Family Medicine
KATHERINE COSTELLO MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1619104916 · enumerated 2009-06-15 · record updated 2015-09-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location US HWY 491 NORTH, SHIPROCK, NM, 87420 (505) 368-6001 Fax (505) 368-7011 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 160, SHIPROCK, NM, 87420-0160 (505) 368-6001 Fax (505) 368-7011 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · License 241082 MA
- Family Medicine 207Q00000X · Primary · License MD2012-053 NM
In this directory
Locations and evidence
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Practice location
SHIPROCK, NM, 87420
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.