Individual provider Active NPI

Leonie Castellanos, PMHNP-BC, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Spring Lake, NC
National Provider Identifier
1275484669
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5023894 Issued in NC
Practice address
627 Heathrow Dr
Spring Lake, NC 28390-9307
Phone
(432) 214-5992
NPI assigned
Feb 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 5023894 NC Primary

Addresses

Primary practice location

627 Heathrow Dr
Spring Lake, NC 28390-9307

Mailing address

627 Heathrow Dr
Spring Lake, NC 28390-9307
Phone (432) 214-5992

Other names 1

  • Leonie Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260515001477 NC Order and Referring Only - Nurse Practitioner 0941779227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
5023894NCMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1275484669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 HEATHROW DR",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283909307",
            "telephone_number": "432-214-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 HEATHROW DR",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283909307",
            "telephone_number": "432-214-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "LEONIE",
        "credential": "PMHNP-BC, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5023894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEONIE",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Lake, NC

Sources for this page

Verify at the official NPI Registry.