Active NPI
Anna Castillo
- School Registered Nurse
- Omaha, NE
National Provider Identifier
1114535218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 69269
- Practice address
- 19110 Greenleaf St
Omaha, NE 68136-1209 - Phone
- (402) 709-5429
- NPI assigned
- Jul 15, 2020
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 69269 | NE | Primary |
Addresses
Primary practice location
19110 Greenleaf St
Omaha, NE 68136-1209
Mailing address
516 W Angus St
Gretna, NE 68028-4422
Phone (402) 895-3388
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | SIMS | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 69269 | NE | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1114535218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 W ANGUS ST",
"city": "GRETNA",
"state": "NE",
"postal_code": "680284422",
"telephone_number": "402-895-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19110 GREENLEAF ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681361209",
"telephone_number": "402-709-5429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-15",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NE",
"license": "69269",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "SIMS",
"affiliation": "N",
"endpointDescription": "database for GPS",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "19110 Greenleaf St",
"city": "Omaha",
"state": "NE",
"country_code": "US",
"postal_code": "681361209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.