Kristin Lee Castine, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704138680 Issued in MI

Practice address

804 Service Rd Ste A110
East Lansing, MI 48824-7015

Phone

(517) 355-2822

Fax

(517) 355-2824

NPI assigned

Jun 9, 2005

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

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.

• Michigan State University

  • Diagnostic Radiology Physician
  • East Lansing, MI
  • NPI 1891747614
  Medicare reassignment NPD
• Michigan State University

  dba Michigan State University Extension

  • Local Education Agency (LEA)
  • East Lansing, MI
  • NPI 1184182982
  NPD
• Michigan State University

  • Family Nurse Practitioner
  • East Lansing, MI
  • NPI 1639253784
  NPD
• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1144224064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A109B",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-2562",
            "fax_number": "517-353-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A110",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-355-2822",
            "fax_number": "517-355-2824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 Service Rd Ste A225",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488247015",
            "country_code": "US",
            "telephone_number": "517-353-2562",
            "fax_number": "517-353-2563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTINE",
        "first_name": "KRISTIN",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704138680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144224064",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna Kay Carrasco, OTR/L
• Shaqelah Yvonne Carter
• Samantha Cartier
• Kayla R Case
• JP Blake Casher, DO
• Magela Castro Rodriguez
• Justin Alexander Caughey, LLMSW
• Rebecca Cavnar, SLP-CFY
• Kevin M Cazan-London, M.D
• Cbi Rehabilitation Services, Inc.

• Adult Health Nurse Practitioner in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.