Miguel Castro

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1830 Destiny LN Ste 110
Bowling Green, KY 42104-1088

Phone

(270) 904-6567

NPI assigned

Apr 4, 2024

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 4, 2024.

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1508618281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 DESTINY LN STE 110",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041088",
            "telephone_number": "270-904-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 DESTINY LN STE 110",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041088",
            "telephone_number": "270-904-6567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Reynolds Rd # 104",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421411177",
            "country_code": "US",
            "telephone_number": "270-904-9567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MIGUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Larae Cassetty, LCSW
• Christopher Castelli, M.D.
• Lauren Nicole Castenir, MA, BCBA, COBA, LBA
• Kathleen Serafica Castillo, MD
• Carisa Castleberry, RN, BSN
• Cathy Gamm Counseling Services, LLC
• Liam Catlett
• Patricia Ann Catlett
• Shelia Freano Catlett, RN, MSN, ARNP, IBCLC
• Jeremy Paul Catron, LCSW

• All providers in Bowling Green, KY
• Case Manager/Care Coordinator in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.