Tracey Gayle Decastro, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN00656 Issued in RI

Practice address

910 Douglas Pike
Smithfield, RI 02917-1874

Phone

(401) 427-6727

Fax

(401) 709-7181

NPI assigned

Sep 17, 2013

Last updated

Mar 14, 2023By 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 1

Addresses

Other names 1

• Tracey Gayle Church Former name

Medicare fee-for-service enrollment

Enrolled in RI

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: decastro.tracey.1@9678.direct.athenahealth.com

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.

• PPC, Inc.

  • General Practice Physician
  • Smithfield, RI
  • NPI 1497158844
  NPD

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1902232374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 JEREMY HILL RD",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063781605",
            "telephone_number": "860-501-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 DOUGLAS PIKE",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171874",
            "telephone_number": "401-427-6727",
            "fax_number": "401-709-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECASTRO",
        "first_name": "TRACEY",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN00656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "CHURCH",
            "middle_name": "GAYLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Curry
• D & H Therapy Associates
• D Halpren Ruder Inc (Urgent Medical Care)
• Jennifer Marie D'Antonio, D.C.
• David M. Colannino, DPM, Inc.
• Laura Degrange
• Hannah Demers
• Allyson Patricia Desrosiers, PA-C
• Andrea Dewhirst, MS, CCC-SLP
• Talia Digiulio Simao

• Family Nurse Practitioner in Smithfield, RI
• Providers in Smithfield, RI by specialty
• Family Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.