Breanna M Castro

Primary specialty

Community Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0812X

License

0202708 Issued in OH

Practice address

209 W Woodland Ave
Youngstown, OH 44502-1866

Phone

(330) 787-9180

Fax

(234) 254-8413

NPI assigned

Mar 19, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1659830586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W WOODLAND AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021866",
            "telephone_number": "330-787-9180",
            "fax_number": "234-254-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W WOODLAND AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021866",
            "telephone_number": "330-787-9180",
            "fax_number": "234-254-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "BREANNA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0812X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "OH",
            "license": "0202708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tameeka Chauntell Casey
• Terrane Jamar Casey
• Matteo Castelluzzo, M.D.
• David Castilla, D.D.S.
• Raymundo Arat Castillejo, MD
• Catholic Charities Regional Agency
• Cheyenne Nicole Cato
• Cara Caudle
• Cavalier Mobile Xray Co (All-Stat Portable OH)
• Cavalier Mobile Xray Co (All-Stat Portable OH)

• Clinical Nurse Specialist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.