Active NPI
Jessica Nicole Castile, RD,LDN
- Registered Dietitian
- Elkton, KY
National Provider Identifier
1598065393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2301
- Practice address
- 617 W. Main Street
Elkton, KY 42220-0305 - Phone
- (270) 265-2362
- Fax
- (270) 265-0602
- NPI assigned
- Oct 26, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2301 | KY | Primary |
Addresses
Primary practice location
617 W. Main Street
Elkton, KY 42220-0305
Mailing address
PO Box 305
Elkton, KY 42220-0305
Phone (270) 265-2362
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301 | KY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1598065393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 305",
"city": "ELKTON",
"state": "KY",
"postal_code": "422200305",
"telephone_number": "270-265-2362",
"fax_number": "270-265-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 W. MAIN STREET",
"city": "ELKTON",
"state": "KY",
"postal_code": "422200305",
"telephone_number": "270-265-2362",
"fax_number": "270-265-0602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILE",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"credential": "RD,LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-26",
"last_updated": "2021-10-01",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "2301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.