Individual provider Active NPI

Andrea Mercedes Castillo, NP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1982983029
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP132868 Issued in TX
Practice address
650 N Sam Houston Pkwy E Ste 105B
Houston, TX 77060-5918
Phone
(281) 272-1743
Fax
(281) 272-1758
NPI assigned
Aug 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9249135 FL
Family Nurse Practitioner 363LF0000X NP132868 TX Primary
Medical-Surgical Registered Nurse 163WM0705X RN9249135 FL

Addresses

Primary practice location

650 N Sam Houston Pkwy E Ste 105B
Houston, TX 77060-5918

Mailing address

650 N Sam Houston Pkwy E
Ste 105B
Houston, TX 77060-5918
Phone (281) 272-1743

Other names 1

  • Andrea Castillo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9249135FLMDMedical-Surgical Registered Nurse
ARNP 9249135FLMDFamily Nurse Practitioner
NP132868TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: andrea.castillo.1@28492.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1982983029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N SAM HOUSTON PKWY E",
            "address_2": "STE 105B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770605918",
            "telephone_number": "281-272-1743",
            "fax_number": "281-272-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N SAM HOUSTON PKWY E STE 105B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770605918",
            "telephone_number": "281-272-1743",
            "fax_number": "281-272-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "ANDREA",
        "middle_name": "MERCEDES",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9249135",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "NP132868",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "RN9249135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "CASTILLO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.