Active NPI
Alexandra Rachel Castillo
- Nurse Practitioner
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARPN11009457
- Practice address
- 3700 Washington St Ste a
Hollywood, FL 33021-8256 - Phone
- (954) 989-4700
- NPI assigned
- Jul 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APRN11009457 | FL | |
| Medical-Surgical Registered Nurse | 163WM0705X | RN9435328 | FL | |
| Nurse Practitioner | 363L00000X | ARPN11009457 | FL | Primary |
Addresses
Primary practice location
3700 Washington St Ste a
Hollywood, FL 33021-8256
Mailing address
455 SW 200TH Ter
Pembroke Pines, FL 33029-1247
Phone (954) 665-3374
Other practice location 1
455 SW 200th Ter
Pembroke Pines, FL 33029-1247
Phone (954) 665-3374
Other practice location 2
11200 SW 8th St
Miami, FL 33199-2516
Phone (954) 665-3374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9435328 | FL | MD | Medical-Surgical Registered Nurse |
| ARPN11009457 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Healthcare System | Current | Accepting new patients |
Locations
3700 Washington St
Ste 500A
Hollywood, FL 33021
Phone (954) 633-7858
2213 N University Dr
Pembroke Pines, FL 33024
Phone (954) 963-2151
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Hollywood, FL
- NPI 1225288392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1639797426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 SW 200TH TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330291247",
"telephone_number": "954-665-3374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 WASHINGTON ST STE A",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218256",
"telephone_number": "954-989-4700"
}
],
"practiceLocations": [
{
"address_1": "455 SW 200th Ter",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330291247",
"country_code": "US",
"telephone_number": "954-665-3374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11200 SW 8th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331992516",
"country_code": "US",
"telephone_number": "954-665-3374",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLO",
"first_name": "ALEXANDRA",
"middle_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN11009457",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "FL",
"license": "RN9435328",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARPN11009457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.