Organization Active NPI

Castle Healthcare Inc.

  • Gerontology Nurse Practitioner
  • Durham, NC
National Provider Identifier
1407025406
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
CASTLE HEALTHCARE INC.
Practice address
6000 Fayetteville Rd
Durham, NC 27713-9754
Phone
(919) 544-9021
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marlyn C Teague
Title
Nurse Practitioner
Phone
(919) 332-9547

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X Primary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

6000 Fayetteville Rd
Durham, NC 27713-9754

Mailing address

12108 Ranleigh CT
Raleigh, NC 27613-5525
Phone (919) 332-9547

Other practice location 1

1417 W Pettigrew St
Durham, NC 27705-4820
Phone (919) 286-7705

Other practice location 2

2059 Torredge Rd
Durham, NC 27712-1767
Phone (919) 477-4474

Other practice location 3

321 E Carver St
Durham, NC 27704-2135
Phone (919) 471-3558

Other identifiers 1

IdentifierTypeStateIssuer
1093794679OtherNCNPI

National Provider Directory

National Provider Directory

Locations

2059 Torredge Rd
Durham, NC 27712
Phone (919) 471-0781

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1407025406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12108 RANLEIGH CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135525",
            "telephone_number": "919-332-9547",
            "fax_number": "919-846-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 FAYETTEVILLE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139754",
            "telephone_number": "919-544-9021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1417 W Pettigrew St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054820",
            "country_code": "US",
            "telephone_number": "919-286-7705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2059 Torredge Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277121767",
            "country_code": "US",
            "telephone_number": "919-477-4474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 E Carver St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277042135",
            "country_code": "US",
            "telephone_number": "919-471-3558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASTLE HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "MARLYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "919-332-9547"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093794679",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.