Kimberly Castillo, APRN
Individual provider Active NPI Family Nurse Practitioner · Archer, FL
NPI 1124346283 · NPPES record last updated Oct 13, 2022
Key facts
- NPI
- 1124346283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP9266930 (FL)
- Practice address
- 16939 SW 134TH Ave
Archer, FL 32618-5413 - Phone
- (352) 265-2550
- Fax
- (352) 627-4785
- NPI assigned
- May 13, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160308001123 | FL | Practitioner - Nurse Practitioner | 7810127537 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida College of Nursing Faculty Practice Associati | Family | Current |
Accepting new patients |
Locations
16939 SW 134th Ave
Archer, FL 32618
Phone (352) 265-2550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9266930 | FL | Yes |
Addresses
Primary practice location
16939 SW 134TH Ave
Archer, FL 32618-5413
Mailing address
16939 SW 134TH Ave
Archer, FL 32618-5413
Phone (352) 265-2550
Other providers in Archer, FL
- Nicole Marie Baisden
- Wendy Biggs
- Tana Marie Bleser
- Domonique Leshawn Boykin
- Kasey Lin Brandt
- Marcela Auxiliadora Cesar
- Lakeshia Cousin
- Erica Rae Cuneo
- Brenda Dyal
- Elements of Movement, LLC
All providers in Archer, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.