Active NPI
Cassandra Castle, LPN
- Community Health Worker
- North Charleston, SC
National Provider Identifier
1245657998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- P15095
- Practice address
- 3963 Whipper Barony LN
Charleston County Health Department/North Area Clinic
North Charleston, SC 29405-7162 - Phone
- (843) 740-1580
- Fax
- (843) 744-3671
- NPI assigned
- Mar 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | P15095 | SC | Primary |
Addresses
Primary practice location
3963 Whipper Barony LN
Charleston County Health Department/North Area Clinic
North Charleston, SC 29405-7162
Mailing address
309 Royal Palm Blvd Apt 203
Charleston, SC 29407-3274
Phone (843) 740-1580
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 |
|---|---|---|---|
| P15095 | SC | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1245657998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 ROYAL PALM BLVD APT 203",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294073274",
"telephone_number": "843-740-1580",
"fax_number": "843-744-3671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3963 WHIPPER BARONY LN",
"address_2": "CHARLESTON COUNTY HEALTH DEPARTMENT/NORTH AREA CLINIC",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294057162",
"telephone_number": "843-740-1580",
"fax_number": "843-744-3671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTLE",
"first_name": "CASSANDRA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "SC",
"license": "P15095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.