Marie Allsopp Castillo, DRPH, RD, LD, CHES

Individual provider Active NPI Registered Dietitian · West Lafayette, IN

NPI 1386870517 · NPPES record last updated Jul 3, 2026

Key facts

NPI
1386870517
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
164.023886 (IL)
Practice address
700 Mitch Daniels Blvd
West Lafayette, IN 47907-2059
Phone
(765) 496-0142
NPI assigned
Jun 2, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ND4630FLMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164.023886 IL Yes
Registered Dietitian 133V00000X ND4630 FL

Addresses

Primary practice location

700 Mitch Daniels Blvd
West Lafayette, IN 47907-2059

Mailing address

700 Mitch Daniels Blvd
West Lafayette, IN 47907-2059
Phone (765) 496-0142

Other providers in West Lafayette, IN

All providers in West Lafayette, IN · Registered Dietitian in Indiana

Sources for this page

Verify at the official NPI Registry.