1609853860 NPI number — VIEW POINT HEALTH

Table of content: MRS. NICHOLE TRUMPER CASTILLO APRN, CNP (NPI 1558703918)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609853860 NPI number — VIEW POINT HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VIEW POINT HEALTH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609853860
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/26/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
175 GWINNETT DR
Provider Second Line Business Mailing Address:
POST OFFICE BOX 687
Provider Business Mailing Address City Name:
LAWRENCEVILLE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30046-8444
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-339-5377
Provider Business Mailing Address Fax Number:
770-339-5016

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
175 GWINNETT DR
Provider Second Line Business Practice Location Address:
POST OFFICE BOX 687
Provider Business Practice Location Address City Name:
LAWRENCEVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30046-8444
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-339-5377
Provider Business Practice Location Address Fax Number:
770-339-5016
Provider Enumeration Date:
12/29/2005

Additional Information

Authorized Official

Authorized Official Last Name:
HIBBARD
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
678-209-2376

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QD1600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 311ZA0620X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 320800000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 324500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000618384U , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452K , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000849406K , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452H , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452J , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452N , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452Q , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00599706A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452B , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452G , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452V , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452E , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452F , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452C , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452R , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452U , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00599684A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00599805B , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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