Etna M Castellanos, APRN/DC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9346434 Issued in FL

Practice address

1176 SW 67TH Ave
Miami, FL 33144-4700

Phone

(305) 359-9838

Fax

(786) 224-6549

NPI assigned

May 18, 2006

Last updated

Mar 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Etna M Castellanos Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C&C Chiropractic and Laser Center

  • Chiropractor
  • Miami, FL
  • NPI 1861697708
  NPD (past) Authorized official
• Medical Service Center of Florida Inc

  • Physical Disabilities Residential Treatment Facility
  • Miami, FL
  • NPI 1164690384
  NPD
• Ray Medical Center Inc

  • Specialist
  • Coral Gables, FL
  • NPI 1801848445
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1194778647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 SW 18TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451634",
            "telephone_number": "954-702-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 SW 67TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444700",
            "telephone_number": "305-359-9838",
            "fax_number": "786-224-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "ETNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "APRN/DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-03-03",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9346434",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 7185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ETNA",
            "last_name": "CASTELLANOS",
            "middle_name": "M",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ana Castellanos
• Aymara Caridad Castellanos
• Brittany Marie Castellanos
• Daniel Castellanos Jr.
• Deborah Castellanos
• George Castellanos, RBT
• Isabel Georgina Castellanos
• Ivette Castellanos
• Jacqueline Castellanos
• Jacqueline Nicole Castellanos, OTR/L

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.