Active NPI
Castle Healthcare Inc.
- Gerontology Nurse Practitioner
- Durham, NC
National Provider Identifier
1407025406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Gerontology Nurse Practitioner | 363LG0600X | Primary | ||
| Primary Care Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093794679 | Other | NC | NPI |
National Provider Directory
National Provider DirectoryLocations
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.