Active NPI
Andre Sabrina Castor
- Nurse Practitioner
- Brockton, MA
National Provider Identifier
1801378674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2018015046
- Practice address
- 33 Bark Cir
Brockton, MA 02302-1928 - Phone
- (617) 905-0054
- NPI assigned
- Aug 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2018015046 | MA | Primary |
Addresses
Primary practice location
33 Bark Cir
Brockton, MA 02302-1928
Mailing address
33 Bark Cir
Brockton, MA 02302-1928
Phone (617) 905-0054
Other practice location 1
33 Bark Cir
Brockton, MA 02302-1928
Phone (617) 905-0054
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018015046 | MA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1801378674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 BARK CIR",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023021928",
"telephone_number": "617-905-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 BARK CIR",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023021928",
"telephone_number": "617-905-0054"
}
],
"practiceLocations": [
{
"address_1": "33 Bark Cir",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023021928",
"country_code": "US",
"telephone_number": "617-905-0054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTOR",
"first_name": "ANDRE",
"middle_name": "SABRINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "2018015046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.