Jesse Castillo

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

11987 Issued in NC

Practice address

190 Moravian Way Dr
Winston Salem, NC 27106-3216

Phone

(366) 767-8130

NPI assigned

Nov 11, 2018

Last updated

Nov 11, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541894400000",
    "number": "1902374689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 NC 801 HWY",
            "city": "WOODLEAF",
            "state": "NC",
            "postal_code": "270549477",
            "telephone_number": "865-466-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MORAVIAN WAY DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063216",
            "telephone_number": "366-767-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "JESSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-11",
        "last_updated": "2018-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "11987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilliam Casteleiro
• Vincent Paul Castellano III, M.D.
• Keotia Evette Smitherman Casterlow, LCMHCA
• Aida L. Castillo-Nieves, MD
• Faith Lynn Castillo, FNP
• Ruth Noemy Castillo, FNP
• Paola Castri, M.D., PH.D.
• Andrea Catalina Castro-Achi, RN BSN
• Leigh Castro, MS, CCC-SLP
• Karla O Castrovinci, CRNA

• Occupational Therapy Assistant in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.