Keeley Danielle Castillo, MS, RD, LD
Individual provider Active NPI Registered Dietitian · Idabel, OK
NPI 1336095645 · NPPES record last updated Mar 9, 2026
Key facts
- NPI
- 1336095645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 3330 (OK)
- Practice address
- 902 E Lincoln Rd
Idabel, OK 74745-7337 - Phone
- (580) 286-2600
- NPI assigned
- Mar 9, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 1577
Durant, OK 74702
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260505000777 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 3779051198 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3330 | OK | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3330 | OK | Yes |
Addresses
Primary practice location
902 E Lincoln Rd
Idabel, OK 74745-7337
Mailing address
643 Emerson Rd
Broken Bow, OK 74728-6406
Phone (580) 236-9567
Other providers in Idabel, OK
- Kassandra Busse
- Gordon Butzirus
- Jenna Leigh Buzan
- Courtney Leigh Cannon
- Tanaka Cantu
- Claire Cavinder
- Brenda Gayle Chadwick-Liechti
- Chance Physical Therapy & Fitness PC
- Chandler-Hewitt Drug Inc
- Childrens Behavioral Centers LLP
All providers in Idabel, OK · Registered Dietitian in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.