Jennifer Marion Casteel, MEDICAL TATTOOIST

Primary specialty

Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X

License

10-44-2432988 Issued in FL

Practice address

3287 A, US-17
Green Cove Springs, FL 32043

Phone

(904) 531-6285

NPI assigned

Jan 12, 2023

Last updated

Jan 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1639883887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ARENTA ST",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320844165",
            "telephone_number": "904-531-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3287 A, US-17",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "32043",
            "telephone_number": "904-531-6285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Arenta street",
            "address_purpose": "LOCATION",
            "city": "Saint Augustine",
            "state": "FL",
            "postal_code": "32084",
            "country_code": "US",
            "telephone_number": "904-531-6285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTEEL",
        "first_name": "JENNIFER",
        "middle_name": "MARION",
        "name_prefix": "Ms.",
        "credential": "MEDICAL TATTOOIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": "FL",
            "license": "10-44-2432988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Art Specialist/Technologist in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• Medical Art Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.