Active NPI
Sandra P Castro
- Family Nurse Practitioner
- Coral Springs, FL
National Provider Identifier
1114626439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2022138723
- Practice address
- 2700 Riverside Dr Apt 101B
Coral Springs, FL 33065-5528 - Phone
- (954) 825-7960
- NPI assigned
- Feb 24, 2023
- Last updated
- Feb 24, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2022138723 | FL | Primary |
Addresses
Primary practice location
2700 Riverside Dr Apt 101B
Coral Springs, FL 33065-5528
Mailing address
2700 Riverside Dr Apt 101B
Coral Springs, FL 33065-5528
Phone (954) 574-7220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022138723 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1114626439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 RIVERSIDE DR APT 101B",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330655528",
"telephone_number": "954-574-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 RIVERSIDE DR APT 101B",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330655528",
"telephone_number": "954-825-7960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "SANDRA",
"middle_name": "P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-24",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "2022138723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.