LYNETTE M CASTRONOVO N.P. NPI 1821055484

NPI Information

NPI: 1821055484
Provider Name: LYNETTE M CASTRONOVO, N.P.
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
3401 N PERRYVILLE RD
ROCKFORD, IL
ZIP 61114
Phone: (815) 971-2000
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Lynette M Castronovo, N.P. is a gerontology nurse practitioner in Rockford, IL. Lynette M Castronovo, N.P. NPI is 1821055484. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3401 N PERRYVILLE RD
ROCKFORD, IL
ZIP 61114-011
Phone: (815) 971-2000
Fax: (815) 971-9447

The NPI 1821055484 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 4/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		209006392	ILLINOIS	No
2	363L00000X	Nurse Practitioner		4704200188	MICHIGAN	No
3	363LG0600X	Nurse Practitioner	Gerontology	209006392	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	4368173	MEDICAID	MICHIGAN
2	K35104	MEDICARE PIN	ILLINOIS
3	F400190394	MEDICARE PIN	ILLINOIS
4	R03922	MEDICARE PIN	ILLINOIS
5	P49277	MEDICARE UPIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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