Desiree Castillo, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2848101 Issued in NY

Practice address

2 Beechwood CT
Lake Grove, NY 11755-2234

Phone

(631) 339-1998

NPI assigned

Jan 30, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1215073846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 963",
            "city": "SOUND BEACH",
            "state": "NY",
            "postal_code": "117892632",
            "telephone_number": "631-339-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BEECHWOOD CT",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552234",
            "telephone_number": "631-339-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "DESIREE",
        "name_prefix": "Miss",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2848101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Kevin Carden, DPT
• Solange Alexandra Carpio, OD
• Melissa Casden, MD
• Marie Jocelyne Casimir, LPN
• Chiara Castilla-Brooks, MS
• Rosaria Celano
• Keith Alan Chadwick, MD, MS
• Rakeem Chambers
• Seth Chandler
• Morgan Naichi Chen, M.D.

• Licensed Practical Nurse in Lake Grove, NY
• Providers in Lake Grove, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.