Individual provider Active NPI

Jaklyng Castro, MSN, APRN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1053010199
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2022068643 Issued in FL
Practice address
4201 SW 109TH CT
Miami, FL 33165-4736
Phone
(305) 479-8724
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2022068643 FL Primary

Addresses

Primary practice location

4201 SW 109TH CT
Miami, FL 33165-4736

Mailing address

4201 SW 109TH CT
Miami, FL 33165-4736
Phone (305) 479-8724

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602000758 FL Practitioner - Nurse Practitioner 8729445911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Design Neuroscience Center PLGroup PAC ID 9032110192, 23 clinicians

Practice addresses (Care Compare)

14400 NW 77TH CT
Suite 306
Miami Lakes, FL 33016-1592
Phone (305) 653-5155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2022068643FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Design Neuroscience Center PL CurrentSince May 2, 2023 Accepting new patients

Locations

8875 NW 23rd St
Doral, FL 33172
Phone (305) 653-5155

21110 Biscayne Blvd
Ste 201
Miami, FL 33180
Phone (305) 653-5155

14400 NW 77th Ct
Ste 306
Miami Lakes, FL 33016
Phone (305) 653-5155

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": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1053010199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SW 109TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654736",
            "telephone_number": "305-479-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SW 109TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654736",
            "telephone_number": "305-479-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "JAKLYNG",
        "credential": "MSN, APRN, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "2022068643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.