Individual provider Active NPI

Aurea Maridia Castellanos, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1427562909
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10765 Issued in AZ
Practice address
16601 N 40TH St Ste No121
Phoenix, AZ 85032-3345
Phone
(602) 493-3677
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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 AP10765 AZ Primary

Addresses

Primary practice location

16601 N 40TH St Ste No121
Phoenix, AZ 85032-3345

Mailing address

16601 N 40TH St
Ste 121
Phoenix, AZ 85032-3355
Phone (602) 377-3054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180529002323 AZ Practitioner - Nurse Practitioner 7618232448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sun Valley Family Care PCGroup PAC ID 3779846118, 2 clinicians

Practice addresses (Care Compare)

16601 N 40TH St
Suite 121
Phoenix, AZ 85032-3355
Phone (602) 493-3677

1762 W Bell Rd
Phoenix, AZ 85023-3414
Phone (602) 493-3677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP10765AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Valley Family Care PC Family Medicine CurrentSince Mar 18, 2018 Accepting new patients
Sun Valley Family Vate Family Medicine Past Accepting new patients

Locations

16601 N 40th St
Ste 121
Phoenix, AZ 85032
Phone (602) 493-3677

1762 W Bell Rd
Phoenix, AZ 85023
Phone (602) 493-3677

Interoperability endpoints

  • Direct secure messaging: aurea.castellanos@svfc.directbygreenway.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1427562909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST",
            "address_2": "STE 121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323355",
            "telephone_number": "602-377-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST STE NO121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323345",
            "telephone_number": "602-493-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "AUREA",
        "middle_name": "MARIDIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.