Active NPI
Lindsey Castillo, SLP
- Speech-Language Pathologist
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 206918
- Practice address
- 4108 Mattison Ave
Fort Worth, TX 76107-2411 - Phone
- (817) 692-5710
- NPI assigned
- May 4, 2023
- Last updated
- Dec 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 118247 | TX | |
| Speech-Language Pathologist | 235Z00000X | 206918 | AK | Primary |
Addresses
Primary practice location
4108 Mattison Ave
Fort Worth, TX 76107-2411
Mailing address
36275 Kenai Spur Hwy Ste 1
Soldotna, AK 99669-7157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AK
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118247 | TX | MD | Occupational Therapist |
| 206918 | AK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain and Headache Center, LLC | Current | Accepting new patients |
Locations
1901 N Hemmer Rd
Apt 111
Palmer, AK 99645
Phone (907) 745-8000
36275 Kenai Spur Hwy
Ste 1
Soldotna, AK 99669
Phone (907) 420-0565
851 E Westpoint Dr
Ste B6
Wasilla, AK 99654
Phone (907) 357-3740
425 Alabama Ave
Ft Worth, TX 76104
Phone (817) 820-3400
6601 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 433-9600
4851 Regent Blvd
Ste 200
Irving, TX 75063
Phone (972) 580-8500
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1487343588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36275 KENAI SPUR HWY STE 1",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4108 MATTISON AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072411",
"telephone_number": "817-692-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "LINDSEY",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-04",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "118247",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AK",
"license": "206918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.