Active NPI
Kerrie Lynn Decastro, CNM
- Advanced Practice Midwife
- Casa Grande, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 315170
- Practice address
- 580 N Camino Mercado Ste 8
Casa Grande, AZ 85122-5757 - Phone
- (520) 836-3446
- NPI assigned
- Nov 21, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 315170 | AZ | Primary |
Addresses
Primary practice location
580 N Camino Mercado Ste 8
Casa Grande, AZ 85122-5757
Mailing address
19509 E Walnut Rd
Queen Creek, AZ 85142-6229
Phone (623) 237-1534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 315170 | AZ | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun Life Family Health Center, Inc. | Current | Accepting new patients | |
| Sun Life Family Health Center, Inc. | Current | Accepting new patients | |
| Sun Life Family Health Center, Inc. | Current | Accepting new patients | |
| Sun Life Family Health Center, Inc. | Current | Accepting new patients | |
| Sun Life Family Health Center, Inc. | Past | Accepting new patients | |
| Sun Life Family Health Center, Inc. | Past | Accepting new patients |
Locations
865 N Arizola Rd
Casa Grande, AZ 85122
Phone (520) 381-0363
1864 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 381-0320
1856 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-0380
580 N Camino Mercado
Ste 8
Casa Grande, AZ 85122
Phone (520) 381-0380
655 S Dobson Rd
Ste 201
Chandler, AZ 85224
Phone (480) 307-9471
1284 N Arizona Blvd
Coolidge, AZ 85128
Phone (520) 723-9131
205 N Stuart Blvd
Eloy, AZ 85131
Phone (520) 466-7883
174 W Highway 287
Florence, AZ 85132
Phone (520) 868-5811
10032 E Southern Ave
Mesa, AZ 85209
Phone (480) 339-2853
1040 W American Ave
Oracle, AZ 85623
Phone (520) 252-4707
23 S McNab Pkwy
San Manuel, AZ 85631
Phone (520) 385-2234
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Sun Life Family Health Center
- Federally Qualified Health Center (FQHC)
- Casa Grande, AZ
- NPI 1891913166
-
- Community/Retail Pharmacy
- Casa Grande, AZ
- NPI 1275693947
-
dba Sun Life Family Health Center
- Federally Qualified Health Center (FQHC)
- Eloy, AZ
- NPI 1588876429
-
dba Sun Life Family Health Center-Florence
- Federally Qualified Health Center (FQHC)
- Florence, AZ
- NPI 1902278252
-
dba Sun Life Family Health Center
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1508276940
-
- Federally Qualified Health Center (FQHC)
- Maricopa, AZ
- NPI 1881073443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1275358525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19509 E WALNUT RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851426229",
"telephone_number": "623-237-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 N CAMINO MERCADO STE 8",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851225757",
"telephone_number": "520-836-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECASTRO",
"first_name": "KERRIE",
"middle_name": "LYNN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-21",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "315170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.