Makayla Danielle Castle, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202010415 Issued in VA

Practice address

628 Lake St NE
Wise, VA 24293-7919

Phone

(276) 328-8017

NPI assigned

Jul 22, 2021

Last updated

Jun 13, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wise County Public Schools

  • School Nurse Practitioner
  • Wise, VA
  • NPI 1003922972

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1912570433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 LAKE ST NE",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242937919",
            "telephone_number": "276-328-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 LAKE ST NE",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242937919",
            "telephone_number": "276-328-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "MAKAYLA",
        "middle_name": "DANIELLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000762",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalianna Grace Brooks
• Tiffany Buchanan, LPC
• Jack Butler
• Eleanor Sue Cantrell, M.D.
• Johnnie K Carrico, MSN FNP
• Cavalier Pharmacy Inc
• Kayley Church, PHARM D
• Rosetta Collins
• Commonwealth of Virginia State Board of Health (Wise County Health Department)
• Community Physicians Services Corporation

• Speech-Language Pathologist in Wise, VA
• Providers in Wise, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.