Active NPI
Sheila Sablon Decastro, AGPCNP
- Adult Health Nurse Practitioner
- Boston, MA
National Provider Identifier
1275881625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN215699
- Practice address
- 55 Fruit St
Wacc - 455
Boston, MA 02114-2621 - Phone
- (617) 763-0852
- NPI assigned
- Aug 16, 2012
- Last updated
- Nov 28, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN215699 | MA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN215699 | MA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | RN215699 | MA |
Addresses
Primary practice location
55 Fruit St
Wacc - 455
Boston, MA 02114-2621
Mailing address
6 Chase LN
Foxboro, MA 02035-1064
Phone (617) 763-0852
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385596800000",
"number": "1275881625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 CHASE LN",
"city": "FOXBORO",
"state": "MA",
"postal_code": "020351064",
"telephone_number": "617-763-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"address_2": "WACC - 455",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-763-0852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABLON DECASTRO",
"first_name": "SHEILA",
"credential": "AGPCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-16",
"last_updated": "2013-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN215699",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "RN215699",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "RN215699",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.