Jennifer Lydia Castro, NP-C
Nurse Practitioner, Family in Albuquerque, NM. Individual provider (NPI-1).
NPI number1831753508
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1831753508
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jennifer Lydia Castro
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2019
- Certification date
- Apr 30, 2024
- Last updated
- Apr 30, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F04190449 | NM | Yes |
Other names
- Jennifer Lydia Castro (Professional Name)
Practice location
333 Montano Rd Nw Ste A1Albuquerque, NM 87107-5200
Phone 505-777-3003
Mailing address
Po Box 740018Atlanta, GA 30374-0018
Phone 773-352-1517 · Fax 312-929-0373
Other practice locations
8428 Hawk Eye Rd Nw
Albuquerque, NM 87120
Albuquerque, NM 87120
Phone 505-917-8413
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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