Mariam Castaneda, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11017039 Issued in FL

Practice address

171 W Lowry LN Ste 180
Lexington, KY 40503-3006

Phone

(502) 632-9313

NPI assigned

Dec 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, KY2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Univ of Central Florida, College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerwell Senior Primary Care FL Inc.Group PAC ID 9830184738, 100 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mariam.castaneda@centerwell.eclinicaldirectplus.com

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.

• Centerwell Senior Primary Care FL Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1487686705
  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care Ky PSC

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1376282038
  Medicare reassignment NPD
• Conviva Medical Center Management LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278
  Medicare reassignment NPD
• Centerwell Senior Primary Care (Ky) PSC

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1699549683
  NPD
• Centerwell Senior Primary Care Ky PSC

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1649919317
  NPD
• Centerwell Senior Primary Care (FL) Inc.

  • Internal Medicine Physician
  • Kissimmee, FL
  • NPI 1215980214
  NPD
• Centerwell Senior Primary Care (FL) Inc.

  • Internal Medicine Physician
  • Altamonte Springs, FL
  • NPI 1306899307
  NPD
• Centerwell Senior Primary Care (FL) Inc.

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1558912659
  NPD
• Centerwell Senior Primary Care (FL) Inc.

  • Internal Medicine Physician
  • Apopka, FL
  • NPI 1720031719
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1124789201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD STE 650",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396013",
            "telephone_number": "407-408-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 W LOWRY LN STE 180",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033006",
            "telephone_number": "502-632-9313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Douglas Ave",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327143335",
            "country_code": "US",
            "telephone_number": "850-304-7986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "MARIAM",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mariam.castaneda.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "360 Douglas Ave",
            "city": "Altamonte Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327143335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Samir Cassis, M.D.
• Michelle Cassity, BS
• Kristina Paige Cassmeyer, APRN, FNP-BC
• Jay Oliver Castaneda, PH.D.
• Kimberly Saylor Castaneda, PH.D.
• Adalberto Roman Castellanos, M.D.
• Ana Lia Castellanos, MD
• Celia E. Castellanos, M. D.
• Christopher Casterline, DMD
• Anna Donata Castiglione Richmond, MD

• Family Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.