Individual provider Active NPI

Rosanne Darcera Castillo, RN, CVRN-BC

  • Registered Nurse
  • Tomball, TX
National Provider Identifier
1669104337
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
835518 Issued in TX
Practice address
Pine Trace Bend
Tomball, TX 77375
Phone
(832) 800-4715
NPI assigned
Jun 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 835518 TX Primary

Addresses

Primary practice location

Pine Trace Bend
Tomball, TX 77375

Mailing address

10202 Black Birch LN
Tomball, TX 77375-1145
Phone (832) 800-4715

Other practice location 1

10202 Black Birch Ln
Tomball, TX 77375-1145
Phone (832) 800-4715

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@prevailnewhealth.com

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
835518TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1669104337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10202 BLACK BIRCH LN",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773751145",
            "telephone_number": "832-800-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PINE TRACE BEND",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "832-800-4715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10202 Black Birch Ln",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773751145",
            "country_code": "US",
            "telephone_number": "832-800-4715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "ROSANNE",
        "middle_name": "DARCERA",
        "credential": "RN, CVRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-07-12",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "835518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@prevailnewhealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "10202 Black Birch Ln",
            "city": "Tomball",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773751145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.