Individual provider Active NPI

Daisy Rachel Castro, CHW

  • Community Health Worker
  • Salem, OR
National Provider Identifier
1730990300
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
113067 Issued in OR
Practice address
435 Lancaster Dr NE
Salem, OR 97301-4729
Phone
(503) 585-6388
Fax
(503) 585-0669
NPI assigned
Jan 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 113067 OR Primary

Addresses

Primary practice location

435 Lancaster Dr NE
Salem, OR 97301-4729

Mailing address

435 Lancaster Dr NE
Salem, OR 97301-4729
Phone (503) 585-6388

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

LicenseStateTypeSpecialty
113067ORMDCommunity Health Worker

Interoperability endpoints

  • Direct secure messaging: daisy.castro.p1@direct.wfamilymed.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1730990300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014729",
            "telephone_number": "503-585-6388",
            "fax_number": "503-585-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014729",
            "telephone_number": "503-585-6388",
            "fax_number": "503-585-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "DAISY",
        "middle_name": "RACHEL",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "113067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.