Individual provider Active NPI

Theresa Marie Castlemain, RN, MSN, CNP

  • Adult Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1083983605
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
CNP-01619 Issued in NM
Practice address
7788 Jefferson St NE
Albuquerque, NM 87109-4342
Phone
(505) 999-1600
NPI assigned
Dec 28, 2011
Last updated
Dec 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X CNP-01619 NM Primary

Addresses

Primary practice location

7788 Jefferson St NE
Albuquerque, NM 87109-4342

Mailing address

7788 Jefferson St NE
Albuquerque, NM 87109-4342
Phone (505) 999-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000779 NM Practitioner - Nurse Practitioner 1153589189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.34 of 100Reported as group
Quality
77.27
Promoting interoperability
100
Improvement activities
40
Cost
70.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Gastroenterology Associates CurrentSince Jan 15, 2012 Accepting new patients

Locations

7788 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 999-1600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12517/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tcastlemain277613@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1083983605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7788 JEFFERSON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094342",
            "telephone_number": "505-999-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7788 JEFFERSON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094342",
            "telephone_number": "505-999-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLEMAIN",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "RN, MSN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NM",
            "license": "CNP-01619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.