Individual provider Active NPI

Crystal Anne Castillo, MSN, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1649716663
Registry record updated Jan 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9371665 Issued in FL
Practice address
19425 W Lake Dr
Hialeah, FL 33015-2244
Phone
(305) 968-4191
NPI assigned
Jan 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2017

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 ARNP9371665 FL Primary

Addresses

Primary practice location

19425 W Lake Dr
Hialeah, FL 33015-2244

Mailing address

19425 W Lake Dr
Hialeah, FL 33015-2244
Phone (305) 968-4191

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180214001856 FL Practitioner - Nurse Practitioner 0840550711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidewell Sanitas I, LLCGroup PAC ID 9537447107, 124 clinicians

Practice addresses (Care Compare)

18610 NW 87TH Ave
Suite 101
Hialeah, FL 33015-3519
Phone (844) 667-4827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9371665FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC CurrentSince Oct 17, 2017 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

7135 SW 117th Ave
Miami, FL 33183
Phone (305) 596-4105

18610 NW 87th Ave
Ste 101
Miami Gardens, FL 33015
Phone (305) 829-5000

Interoperability endpoints

  • Direct secure messaging: crystal.castillo@wwmp.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1484352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484352000000",
    "number": "1649716663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19425 W LAKE DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152244",
            "telephone_number": "305-968-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19425 W LAKE DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152244",
            "telephone_number": "305-968-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "CRYSTAL",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MSN, ARNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-14",
        "last_updated": "2017-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9371665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.