Alexander Tan Villacastin, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP2986862 Issued in FL

Practice address

10489 N Florida Ave
Citrus Springs, FL 34434-3268

Phone

(352) 489-2486

Fax

(352) 489-5786

NPI assigned

Jun 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• West Florida Medical Associates P a

  • Internal Medicine Physician
  • Beverly Hills, FL
  • NPI 1265515001
  Medicare reassignment

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1174720619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10489 N FLORIDA AVE",
            "city": "CITRUS SPRINGS",
            "state": "FL",
            "postal_code": "344343268",
            "telephone_number": "352-382-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10489 N FLORIDA AVE",
            "city": "CITRUS SPRINGS",
            "state": "FL",
            "postal_code": "344343268",
            "telephone_number": "352-489-2486",
            "fax_number": "352-489-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLACASTIN",
        "first_name": "ALEXANDER",
        "middle_name": "TAN",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP2986862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Philcox Limited Liability Company
• TLC Rehab, LLC
• Jared Vanderpohl, PA-C
• Vanessa Verdo, IBCLC
• Alex Tan Villacastin, M.D.
• Maria Juvy Villacastin, ARNP
• Sheila Malto Villacastin, ARNP
• Shilo Allene Wagner, MS MHC
• West Coast Eye Institute
• West Florida Medical Associates, PA

• Adult Health Nurse Practitioner in Citrus Springs, FL
• Providers in Citrus Springs, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.

Verify at the official NPI Registry.