JENNIFER CASTILLO (NPI# 1881247096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881247096 |
Entity Type | Individual |
Full Name | JENNIFER CASTILLO |
Practice Address |
1809 S Hudson Dr Enid OK 73703-8002 |
Practice Telephone | 5805405960 |
Practice Fax Number | 5802975126 |
Mailing Telephone | 5805405960 |
Mailing Fax Number | 5802975126 |
Enumeration Date | 2019-07-17 |
Last Update Date | 2019-07-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1809 S Hudson Dr, Enid, OK 737038002 | 5805405960 | |
312 N Van Buren St, Enid, OK 737034500 | 5804784856 | 5802975126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386251742 | Jennifer Lynn Castillo | Nurse Practitioner | 280 S 9500 E, Huntsville, UT 84317-9766 | 2020-09-29 |
1770190563 | Jennifer Castillo | Occupational Therapy Assistant | 6886 Integra Cove Blvd Apt 406, Orlando, FL 32821-8904 | 2020-09-26 |
1912568502 | Jennifer R Castillo | Registered Nurse | 712 Larkspur Ct, San Marcos, CA 92078-7906 | 2019-06-24 |
1912419128 | Jennifer Marie Castillo | Speech-Language Pathologist | 106 W Pine Dr, Effingham, IL 62401-2954 | 2017-10-27 |
1366963498 | Jennifer Castillo | Behavioral Analyst | 206 Audubon Ave Apt 46, New York, NY 10033-8425 | 2017-06-28 |
1831619584 | Jennifer Castillo | Registered Nurse | 245 S Fetterly Ave Ofc, Los Angeles, CA 90022-1605 | 2017-06-23 |
1063691053 | Jennifer K Castillo | Physician Assistant | 1725 W Harrison St Ste 829, Chicago, IL 60612-3866 | 2007-10-26 |
1063978088 | Jennifer Castillo | Licensed Practical Nurse | 6321 New Utrecht Ave, Brooklyn, NY 11219-5425 | 2019-02-14 |
1104083898 | Jennifer Joy Castillo | Physical Therapist | 800 Prudential Dr, Howard Bldg Suite 612, Jacksonville, FL 32207-8202 | 2008-05-20 |
1902995863 | Jennifer Elizabeth Castillo | Internal Medicine | 24 Frank Lloyd Wright Dr Ste L2200, Ann Arbor, MI 48105 | 2006-10-11 |
Street Address |
1809 S HUDSON DR |
City | ENID |
State | OK |
Zip Code | 73703-8002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851902233 | Gena M Ford | Massage Therapist | 2117 W Owen K Garriot, Inside Beyond Beauty, Enid, OK 73703 | 2020-08-11 |
1396270351 | Zoom Diagnostic Imaging LLC | Clinic/Center | 1113 West Cherry Ave, Enid, OK 73703 | 2017-04-27 |
1083154173 | Amanda Percival, Pllc | Counselor | 1420 W Owen K. Garriott Bldg 1, Enid, OK 73703 | 2017-03-08 |
1972934297 | Ty Stroble | Behavioral Analyst | 408 N Oakwood, Apt.13d, Enid, OK 73703 | 2013-12-12 |
1801132204 | Ryan Patrick Williams | Dentist | 2510 W Chestnut Ave, Ste A, Enid, OK 73703 | 2012-12-13 |
1295094720 | Heather Jeanette Linder | Counselor | 2700 N. Vanburen, Trailer 240, Enid, OK 73703 | 2012-05-03 |
1366729477 | Karen Lynn Harris | Counselor | 1625 W. Garriot, Suite F, Enid, OK 73703 | 2011-11-03 |
1659666501 | Courtney Michelle Pike | Behavioral Analyst | 1625 West Owen K Garriott Road # F, Enid, OK 73703 | 2011-06-17 |
1194040089 | Erin K. Roberts, Dds, Plc | Dentist | 1402 N Van Buren, Enid, OK 73703 | 2010-04-02 |
1770812109 | Tabitha Janel Simon | Counselor | 529 North Grand, Enid, OK 73703 | 2009-12-14 |
Find all providers in zip 73703 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053934752 | Haylee Schwandt | Peer Specialist | 3228n N Emerson St, Enid, OK 73701-1316 | 2020-05-28 |
1588087506 | Ryan Jay Whitehorse | Peer Specialist | 1106 Hillside Dr, Enid, OK 73701-7758 | 2014-01-27 |
1184222309 | James Glenn Matthews | Peer Specialist | 1824 S Van Buren St, Enid, OK 73703-7903 | 2020-10-09 |
1134736127 | Royce York Mcmillion | Peer Specialist | 1824 S Van Buren St, Enid, OK 73703-7903 | 2020-09-24 |
1245846310 | Steve Kroll | Peer Specialist | 1824 S Van Buren St, Enid, OK 73703-7903 | 2020-09-23 |
1811547292 | Bryce Alexander Winters | Peer Specialist | 312 N Van Buren St, Enid, OK 73703-4500 | 2019-09-17 |
1477105476 | Audrey Hutchison | Peer Specialist | 1824 S Van Buren St, Enid, OK 73703-7903 | 2019-07-10 |
1992297139 | Jessica Postier | Peer Specialist | 605 W Oxford Ave, Enid, OK 73701-1208 | 2018-06-04 |
1629596135 | Cynthia Herrington | Peer Specialist | 605 W Oxford Ave, Enid, OK 73701-1208 | 2017-09-05 |
1417357153 | Kimberly Wheeler | Peer Specialist | 1824 S Van Buren St, Enid, OK 73703-7903 | 2014-08-29 |
Find all providers in ENID |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.