Individual provider Active NPI

Sylvia Gladstone Castro, ARNP

  • Family Nurse Practitioner
  • Renton, WA
National Provider Identifier
1912297219
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60210183 Issued in WA
Practice address
707 S Grady Way Ste 600
Renton, WA 98057
Phone
(206) 823-1004
Fax
(206) 309-3319
NPI assigned
Apr 8, 2011
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60210183 WA Primary

Addresses

Primary practice location

707 S Grady Way Ste 600
Renton, WA 98057

Mailing address

707 S Grady Way Ste 600
Renton, WA 98057-3227
Phone (206) 823-1004

Other practice location 1

16427 NE 145th St
Woodinville, WA 98072
Phone (425) 481-4835

Other practice location 2

16427 NE 145th St
Woodinville, WA 98072
Phone (425) 481-4835

Other practice location 3

11812 N Creek Pkwy N Ste 202
Bothell, WA 98011-8202
Phone (425) 287-5500

Other identifiers 4

IdentifierTypeStateIssuer
2143055MedicaidWA
AP60210183OtherWAMEDICAL LICENSE
203390MedicaidWA
RN00071163OtherWAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20170525001786 WA Practitioner - Nurse Practitioner 4688941511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Care PLLCGroup PAC ID 4486999232, 3 clinicians

Practice addresses (Care Compare)

11812 N Creek Pkwy N
Suite 202
Bothell, WA 98011-8202
Phone (425) 287-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60210183WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Care PLLC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Living Well Chiropractic & Massage Inc. Multi-Specialty Past Accepting new patients
Puget Sound Surgical Clinic Inc Multi-Specialty Past Accepting new patients

Locations

11812 N Creek Pkwy N
Ste 202
Bothell, WA 98011
Phone (425) 287-5500

801 SW 16th St
Ste 121
Renton, WA 98057
Phone (206) 805-8885

Interoperability endpoints

  • Direct secure messaging: sylvia.castro@3394.securemail.prognocis.com

Organizations & group practices 3

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": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1912297219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S GRADY WAY STE 600",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573227",
            "telephone_number": "206-823-1004",
            "fax_number": "206-309-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S GRADY WAY STE 600",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98057",
            "telephone_number": "206-823-1004",
            "fax_number": "206-309-3319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16427 NE 145th St",
            "address_purpose": "LOCATION",
            "city": "Woodinville",
            "state": "WA",
            "postal_code": "98072",
            "country_code": "US",
            "telephone_number": "425-481-4835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16427 NE 145th St",
            "address_purpose": "LOCATION",
            "city": "Woodinville",
            "state": "WA",
            "postal_code": "98072",
            "country_code": "US",
            "telephone_number": "425-481-4835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11812 N Creek Pkwy N Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980118202",
            "country_code": "US",
            "telephone_number": "425-287-5500",
            "fax_number": "425-287-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "SYLVIA",
        "middle_name": "GLADSTONE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60210183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2143055",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "AP60210183",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203390",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "RN00071163",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.