Individual provider Active NPI

Patricia D Castleman, FNP-C

  • Nurse Practitioner
  • Waynesboro, TN
National Provider Identifier
1164405221
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN38160 Issued in TN
Practice address
107 JV Mangubat Dr
Waynesboro, TN 38485-2440
Phone
(931) 722-2800
Fax
(931) 722-9627
NPI assigned
Nov 22, 2005
Last updated
Feb 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN38160 TN Primary

Addresses

Primary practice location

107 JV Mangubat Dr
Waynesboro, TN 38485-2440

Mailing address

PO Box 689
Waynesboro, TN 38485-0689
Phone (931) 722-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050701000094 TN Practitioner - Nurse Practitioner 7012953870 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10462TNMDPharmacist
APN38160TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Faith & Family Care Clinic PLLC CurrentSince Mar 5, 2024 Accepting new patients
The Children's Clinic PC Past Accepting new patients
Maury Regional Ambulatory Care Center Inc. Past Accepting new patients

Locations

531 Highway 64 W
Waynesboro, TN 38485
Phone (931) 253-8146

Organizations & group practices 3

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1164405221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384850689",
            "telephone_number": "931-722-2800",
            "fax_number": "931-722-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 JV MANGUBAT DR",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852440",
            "telephone_number": "931-722-2800",
            "fax_number": "931-722-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLEMAN",
        "first_name": "PATRICIA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN38160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, TN

Sources for this page

Verify at the official NPI Registry.