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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEELEY DANIELLE CASTILLO MS, RD, LD
NPI 1336095645
Dietitian, Registered in Idabel, OK

Active since March 09, 2026
902 E LINCOLN RD, IDABEL, OK 74745(580) 286-2600 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2026, Mar 9, 2026 (2 updates tracked since 2026).

About Keeley Danielle Castillo Ms, Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEELEY DANIELLE CASTILLO MS, RD, LD (NPI 1336095645) is an individual dietitian, registered in Idabel, Oklahoma, licensed in Oklahoma (3330) and active in the NPI registry since March 2026. She is affiliated with Choctaw Nation Health Services Authority and is a graduate of Other (2025).

NPPES Registry Identity

NPI1336095645
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKEELEY DANIELLE CASTILLOCredential: MS, RD, LD
Location Address902 E LINCOLN RDIdabel, OK 74745-7337
Mailing Address643 Emerson RdBroken Bow, OK 74728-6406 · (580) 236-9567
Phone(580) 286-2600
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 9, 2026
Last NPPES UpdateSeptember 22, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1336095645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in OK · 3330
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
902 E LINCOLN RD, Idabel, OK 74745
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keeley Danielle Castillo Ms, Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779051198
PECOS Enrollment IDI20260505000777

Medicare Billing Reassignment

Medicare enrollment records show Keeley Castillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Choctaw Nation Of Oklahoma
0.1 mi
Primary Care
902 E LINCOLN RD
Idabel, OK 74745
  • Reassigned Medicare billing, Texas enrollment
  • 581 clinicians in this Medicare group
NPI 1407822497 (918) 567-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Choctaw Nation Health Services Authority

Acute Care Hospitals · Talihina, OK
OwnershipTribal
CMS Certification Number370172
Location1 Choctaw WayTalihina, OK 74571 · Latimer County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH A KENNEDY OTHER
Physical Therapist
902 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-2600
CASSIDY WRAY DAVIS PHARM.D.
Pharmacist
902 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-2600
SADIE SIMONE HAURY
Case Manager/Care Coordinator
902 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (870) 582-4863
MS. KRISTI C. WILLIAMSON RDH
Dental Hygienist
902 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-2600
NATALIE NICOLE BECK PTA
Physical Therapy Assistant
902 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-2600
DR. DAVIS MICHAEL LEWIS D.D.S.
Dentist
902 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-2600
DR. JOSHUA M GOLDEN O.D.
Optometrist
902 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-2600
LISA D ORTIZ M.D.
Internal Medicine
902 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keeley Castillo's NPI number?

The NPI number for Keeley Castillo is 1336095645. It was assigned to this individual provider in the NPPES registry on March 9, 2026.

Where is Keeley Castillo located?

Keeley Castillo practices at 902 E Lincoln Rd, Idabel, OK 74745. The listed phone number is (580) 286-2600.

What is Keeley Castillo's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Keeley Castillo enrolled in Medicare?

Yes. Keeley Castillo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keeley Castillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keeley Castillo reassigns Medicare benefits to Choctaw Nation Of Oklahoma (Idabel, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keeley Castillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Keeley Castillo affiliated with any hospitals?

According to CMS data, Keeley Castillo is affiliated with Choctaw Nation Health Services Authority.

When was this NPI record last updated?

The NPPES record for Keeley Castillo was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.