Mary Ellen P Castro, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

001506 Issued in CT

Practice address

263 Farmington Ave
Suite #263
Farmington, CT 06030-5386

Phone

(860) 679-5547

Fax

(860) 679-5552

NPI assigned

Feb 17, 2006

Last updated

Mar 3, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1871567537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "SUITE #263",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060305386",
            "telephone_number": "860-679-5547",
            "fax_number": "860-679-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "SUITE #263",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060305386",
            "telephone_number": "860-679-5547",
            "fax_number": "860-679-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MARY ELLEN",
        "middle_name": "P",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "001506",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "001506",
            "primary": false
        },
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "CT",
            "license": "001506",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "E48342",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004189579",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren B Caselli, PA-C
• Deena Costanza Casiero, M.D.
• Charles Leonard Castiglione, MD
• Ashley Castillo, MD
• Viviana Castro Paula, BCBA
• Paulo Castro, DO
• Daniel J Catuccio, RPT
• Gaston Alejandro Cavada, D.D.S
• Norman J Cavanagh, DMD, MD
• Joanne M Ceccarelli-Egan, LCSW

• Adult Health Nurse Practitioner in Farmington, CT
• Providers in Farmington, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.