Individual provider Active NPI

Karen Ivette Fernandez de Castro, OTR/L

  • Pediatric Occupational Therapist
  • Florida City, FL
National Provider Identifier
1205106051
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT13343 Issued in FL
Practice address
756 West Palm Drive
Florida City, FL 33034
Phone
(305) 246-3530
Fax
(305) 246-4585
NPI assigned
Jan 11, 2012
Last updated
Jan 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT13343 FL
Pediatric Occupational Therapist 225XP0200X OT13343 FL Primary

Addresses

Primary practice location

756 West Palm Drive
Florida City, FL 33034

Mailing address

756 West Palm Drive
Florida City, FL 33034
Phone (305) 246-3530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT13343FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1205106051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 WEST PALM DRIVE",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "33034",
            "telephone_number": "305-246-3530",
            "fax_number": "305-246-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 WEST PALM DRIVE",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "33034",
            "telephone_number": "305-246-3530",
            "fax_number": "305-246-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ DE CASTRO",
        "first_name": "KAREN",
        "middle_name": "IVETTE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13343",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT13343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.