Deborah T Castellucci, CRNP, PHD

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

VP001119H Issued in PA

Practice address

1320 Broadcasting Rd
Ste 200
Wyomissing, PA 19610-3222

Phone

(610) 372-8995

NPI assigned

Feb 10, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Deborah T Dickson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629041371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 BROADCASTING RD",
            "address_2": "STE 200",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103222",
            "telephone_number": "610-372-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 BROADCASTING RD",
            "address_2": "STE 200",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103222",
            "telephone_number": "610-372-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLUCCI",
        "first_name": "DEBORAH",
        "middle_name": "T",
        "credential": "CRNP, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "VP001119H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "DICKSON",
            "middle_name": "T",
            "credential": "CRNP, PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Center for Interventional Pain Spine LLC

• Nurse Practitioner in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.