Kylee Castillo

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

867045 Issued in NV

Practice address

10170 S Eastern Ave Ste 110
Henderson, NV 89052-3969

Phone

(702) 401-0470

NPI assigned

Jul 5, 2023

Last updated

Jul 5, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Daniel L. Burkhead, MD LTD

  dba Innovative Pain Care Center

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1942253075
  Medicare reassignment NPD
• Daniel L. Burkhead, M.D. LTD

  dba Innovative Pain Care Center

  • Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1558789628
  NPD

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1255018818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5638 WILD OLIVE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181956",
            "telephone_number": "702-401-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10170 S EASTERN AVE STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523969",
            "telephone_number": "702-401-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "KYLEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "867045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luna Castillo-Camargo
• Alexander Nguyen Castillo, MD
• Christine Joy Castillo
• Euporia Castillo
• Jesus Castillo
• Marcella Nicole Castillo, APRN-CNP
• Maribel Barrera Castillo, RN
• Mary Castillo
• Stephanie Castillo
• Daisy Castro, CST

• Adult Health Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Adult Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.