Individual provider Active NPI

Amanda Hope Castillon, RN

  • Home Health Registered Nurse
  • Bemidji, MN
National Provider Identifier
1841892478
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
1944466 Issued in MN
Practice address
2524 Hannah Ave NW
Bemidji, MN 56601-2110
Phone
(218) 308-5937
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 1944466 MN Primary

Addresses

Primary practice location

2524 Hannah Ave NW
Bemidji, MN 56601-2110

Mailing address

2524 Hannah Ave NW
Bemidji, MN 56601-2110
Phone (218) 308-5937

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
1944466MNMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Healthcare, Inc. PastSince Nov 15, 2020 Accepting new patients
Tru Healthcare, Inc. PastSince Nov 15, 2020 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1841892478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 HANNAH AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012110",
            "telephone_number": "218-308-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 HANNAH AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012110",
            "telephone_number": "218-308-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLON",
        "first_name": "AMANDA",
        "middle_name": "HOPE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "1944466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.