Individual provider Active NPI

Marlene Castro, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1184226433
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009622 Issued in FL
Practice address
9950 SW 136TH CT
Miami, FL 33186-2871
Phone
(786) 715-9222
NPI assigned
Nov 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11009622 FL Primary

Addresses

Primary practice location

9950 SW 136TH CT
Miami, FL 33186-2871

Mailing address

9950 SW 136TH CT
Miami, FL 33186-2871
Phone (786) 715-9222

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
I20231118000209 FL Practitioner - Nurse Practitioner 8527026525 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11009622FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vida Health Care CurrentSince Oct 2, 2023 Accepting new patients

Locations

881 E 2nd Ave
Hialeah, FL 33010
Phone (305) 882-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24342/brand/1/csg/1/fhir/r4

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": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1184226433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 SW 136TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862871",
            "telephone_number": "786-715-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 SW 136TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862871",
            "telephone_number": "786-715-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MARLENE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.