Active NPI
Crystal Anne Castillo, MSN, ARNP, FNP-BC
- Family Nurse Practitioner
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9371665
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9371665 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidewell Sanitas I, LLC | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.