Herendira Guadalupe Castillo-Campa

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

50 35TH St SW
Grand Rapids, MI 49548-2100

Phone

(616) 776-5110

NPI assigned

Mar 20, 2024

Sex

Female

Sole proprietor

No

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

Interoperability endpoints

• Direct secure messaging: herendira.castillocampa.p1@direct.cherryhealth.nextgenshare.com

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1255191995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 35TH ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495482100",
            "telephone_number": "616-776-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 35TH ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495482100",
            "telephone_number": "616-776-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO-CAMPA",
        "first_name": "HERENDIRA",
        "middle_name": "GUADALUPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khristina Casteel
• Graciela Castellanos-Lopez
• Miguel Armando Castellon, MD
• Amanda Tran Casten, PA
• Michaela Jo Caster
• Ithzell Castillo-Tlapal, BEHAVIOR TECHNICIAN
• Alcario Castillo
• Carleene Michelle Castillo
• Jessica Lynn Castillo, RDH
• Yadira Castillo

• Community Health Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.