Petra Casto

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0055994 Issued in OK

Practice address

4400 E Gore Blvd
Lawton, OK 73501-6245

Phone

(580) 355-5230

Fax

(580) 585-6434

NPI assigned

Oct 2, 2015

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": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1740650753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 E GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735016245",
            "telephone_number": "580-355-5230",
            "fax_number": "580-585-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735016245",
            "telephone_number": "580-355-5230",
            "fax_number": "580-585-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTO",
        "first_name": "PETRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "0055994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lawton, OK
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.