Individual provider Active NPI

Carmen Cecilia Castillo Reyes

  • Health Educator
  • Philadelphia, PA
National Provider Identifier
1568326254
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
1213 Fanshawe St
Philadelphia, PA 19111-4923
Phone
(215) 960-4887
Fax
(215) 960-4887
NPI assigned
Dec 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X PA Primary

Addresses

Primary practice location

1213 Fanshawe St
Philadelphia, PA 19111-4923

Mailing address

1213 Fanshawe St
Philadelphia, PA 19111-4923
Phone (215) 960-4887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1568326254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 FANSHAWE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191114923",
            "telephone_number": "215-960-4887",
            "fax_number": "215-960-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 FANSHAWE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191114923",
            "telephone_number": "215-960-4887",
            "fax_number": "215-960-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO REYES",
        "first_name": "CARMEN",
        "middle_name": "CECILIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.