Individual provider Active NPI

Cassandra Castle, LPN

  • Community Health Worker
  • North Charleston, SC
National Provider Identifier
1245657998
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
P15095 Issued in SC
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

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
P15095SCMDCommunity 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.

Verify at the official NPI Registry.