Individual provider Active NPI

Leisan Castro

  • Family Nurse Practitioner
  • Belleview, FL
National Provider Identifier
1285550202
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11048767 Issued in FL
Practice address
12237 SE 70TH Avenue Rd
Belleview, FL 34420-4673
Phone
(305) 910-3187
NPI assigned
Jun 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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 11048767 FL Primary

Addresses

Primary practice location

12237 SE 70TH Avenue Rd
Belleview, FL 34420-4673

Mailing address

12237 SE 70TH Avenue Rd
Belleview, FL 34420-4673
Phone (305) 910-3187

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 270
The Villages, FL 32162-1723

12237 SE 70TH Ave Rd
Belleview, FL 34420-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1285550202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12237 SE 70TH AVENUE RD",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344204673",
            "telephone_number": "305-910-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12237 SE 70TH AVENUE RD",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344204673",
            "telephone_number": "305-910-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "LEISAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11048767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleview, FL

Sources for this page

Verify at the official NPI Registry.