Individual provider Active NPI

Jennifer Castle, NP

  • Women's Health Nurse Practitioner
  • Burlington, VT
National Provider Identifier
1821043407
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1010025563 Issued in VT
Practice address
183 Saint Paul St
Burlington, VT 05401-4636
Phone
(802) 863-6326
Fax
(802) 863-4951
NPI assigned
May 23, 2006
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NJ01320900 NJ
Women's Health Nurse Practitioner 363LW0102X 1010025563 VT Primary

Addresses

Primary practice location

183 Saint Paul St
Burlington, VT 05401-4636

Mailing address

128 Lakeside Ave
Suite 301
Burlington, VT 05401-4939
Phone (802) 448-9719

Other practice location 1

69 Newman Springs Rd E
Shrewsbury, NJ 07702-4038
Phone (732) 842-9300

Other identifiers 1

IdentifierTypeStateIssuer
4000015MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH, ME3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050701000118 VT Practitioner - Nurse Practitioner 6901842772
I20100518000267 NH Practitioner - Nurse Practitioner 6901842772 Reassigns benefits to 1 organization
I20120912000007 ME Practitioner - Nurse Practitioner 6901842772 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01320900NJMDWomen's Health Nurse Practitioner
1010025563VTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Northern New England PastSince Jan 25, 2010 Accepting new patients
Planned Parenthood of Northern New England PastSince Jun 5, 2018 Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients
Planned Parenthood of Northern New England PastSince Dec 24, 2019 Accepting new patients
Planned Parenthood of Northern, Central, and Southern New Jersey, Inc. Past Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.castle.p11@direct.ppncsnj.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1821043407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LAKESIDE AVE",
            "address_2": "SUITE 301",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014939",
            "telephone_number": "802-448-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 SAINT PAUL ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014636",
            "telephone_number": "802-863-6326",
            "fax_number": "802-863-4951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 Newman Springs Rd E",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "NJ",
            "postal_code": "077024038",
            "country_code": "US",
            "telephone_number": "732-842-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ01320900",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VT",
            "license": "1010025563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4000015",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.