Active NPI
Lisandra Santos del Castillo, FNP
- Nurse Practitioner
- Miami, FL
National Provider Identifier
1033700877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11011411
- Practice address
- 8900 N Kendall Dr
Miami, FL 33176-2118 - Phone
- (786) 596-6743
- Fax
- (786) 533-9711
- NPI assigned
- Feb 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11011411 | DC | |
| Family Nurse Practitioner | 363LF0000X | 11011411 | DC | |
| Nurse Practitioner | 363L00000X | APRN11011411 | FL | Primary |
Addresses
Primary practice location
8900 N Kendall Dr
Miami, FL 33176-2118
Mailing address
PO Box 198054
Atlanta, GA 30384-8054
Phone (786) 596-6743
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | LIS31300@cerner.directbaptisthealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220223002949 | FL | Practitioner - Nurse Practitioner | 0446644108 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11011411 | DC | MD | Nurse Practitioner |
| APRN11011411 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NP Care Vip LLC | Single Specialty | Current | Accepting new patients |
Interoperability endpoints
- lis31300@cerner.directbaptisthealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1033700877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198054",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848054",
"telephone_number": "786-596-6743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 N KENDALL DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762118",
"telephone_number": "786-596-6743",
"fax_number": "786-533-9711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS DEL CASTILLO",
"first_name": "LISANDRA",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-02",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DC",
"license": "11011411",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "11011411",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11011411",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "LIS31300@cerner.directbaptisthealth.com",
"affiliation": "N",
"address_1": "8900 N Kendall Dr",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331762118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.