Individual provider Active NPI

Joanna Castaneda, FNP

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1467831925
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127986 Issued in TX
Practice address
5713 82ND St
Lubbock, TX 79424
Phone
(806) 993-6560
Fax
(806) 993-6565
NPI assigned
May 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP127986 TX Primary

Addresses

Primary practice location

5713 82ND St
Lubbock, TX 79424

Mailing address

5713 82ND St
Lubbock, TX 79424-2633
Phone (806) 993-6560

Other practice location 1

7601 Quaker Ave
Lubbock, TX 79424-3360
Phone (806) 725-9603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150810002834 TX Practitioner - Nurse Practitioner 9537474267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paratus Medical, IncGroup PAC ID 1557632569, 5 clinicians

Practice addresses (Care Compare)

5713 82ND St
Lubbock, TX 79424-2633
Phone (806) 993-6560

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP127986TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paratus Medical, Inc. CurrentSince May 22, 2018 Accepting new patients

Locations

4708 67th St
Ste 130
Lubbock, TX 79414
Phone (806) 239-0104

5713 82nd St
Lubbock, TX 79424
Phone (806) 798-8820

Interoperability endpoints

  • Direct secure messaging: joanna.castaneda@direct.myteamcare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1467831925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242633",
            "telephone_number": "806-993-6560",
            "fax_number": "806-993-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5713 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-993-6560",
            "fax_number": "806-993-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7601 Quaker Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794243360",
            "country_code": "US",
            "telephone_number": "806-725-9603",
            "fax_number": "806-725-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "JOANNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.