Individual provider Active NPI

Leslie Castillo Navia, FNP

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1447092697
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5020200 Issued in NC
Practice address
5820 E W T Harris Blvd Ste B
Charlotte, NC 28215-3542
Phone
(704) 548-7962
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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 5020200 NC Primary

Addresses

Primary practice location

5820 E W T Harris Blvd Ste B
Charlotte, NC 28215-3542

Mailing address

5820 E W T Harris Blvd Ste B
Charlotte, NC 28215-3542
Phone (704) 548-7962

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
I20240823000363 NC Practitioner - Nurse Practitioner 8527507441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
Kasaji Medical PCGroup PAC ID 2466815600, 4 clinicians

Practice addresses (Care Compare)

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

5820 E W T Harris Blvd
Suite B
Charlotte, NC 28215-3542
Phone (914) 589-9963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5020200NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kasaji Medical PC CurrentSince Jun 4, 2024 Accepting new patients

Locations

5820 E Wt Harris Blvd
Ste B
Charlotte, NC 28215
Phone (704) 548-7962

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1447092697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 E W T HARRIS BLVD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153542",
            "telephone_number": "704-548-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 E W T HARRIS BLVD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153542",
            "telephone_number": "704-548-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO NAVIA",
        "first_name": "LESLIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.