Shellene Castleman

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CM3964 Issued in AK

Practice address

104 Division St.
Nome, AK 99762

Phone

(907) 443-4150

Fax

(907) 443-4151

NPI assigned

Apr 10, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nome Community Center, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Nome, AK
  • NPI 1962625939
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174746077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997620098",
            "telephone_number": "907-443-4150",
            "fax_number": "907-443-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DIVISION ST.",
            "city": "NOME",
            "state": "AK",
            "postal_code": "99762",
            "telephone_number": "907-443-4150",
            "fax_number": "907-443-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLEMAN",
        "first_name": "SHELLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "CM3964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CM3964",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lolene Buck
• Michael Anthony Burnett, LMT
• Ronda Elaine Burnett
• Martha Butler
• Darien Lamont Campbell, PHARMD
• Aura Chasteen
• City of Nome
• Bobbi Jo Conner, RN
• William Michael Cox, MD
• Barbara Lee Cromwell, RN, SANE-A

• Case Manager/Care Coordinator in Nome, AK
• Providers in Nome, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.