Active NPI
Eugenia Melida Sierra Castillo
- Family Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9446865
- Practice address
- 14285 SW 42ND St Ste 205
Miami, FL 33175-6416 - Phone
- (305) 551-2165
- Fax
- (786) 621-7812
- NPI assigned
- Jun 9, 2017
- Last updated
- Mar 4, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9446865 | FL | Primary |
Addresses
Primary practice location
14285 SW 42ND St Ste 205
Miami, FL 33175-6416
Mailing address
6100 Blue Lagoon Dr Ste 365
Miami, FL 33126-7010
Phone (786) 322-7333
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eugenia.sierracastillo@cmg.eclinicaldirectplus.com | Direct |
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 |
|---|---|---|---|
| 9446865 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Medical Group of Westchester, LLC. | Current | Accepting new patients | |
| Gomez Behavioral Solution, LLC | Current | Accepting new patients |
Locations
1150 NW 72nd Ave
Ste 350
Miami, FL 33126
Phone (305) 591-1606
1150 NW 72nd Ave
Ste 540
Miami, FL 33126
14223 SW 42nd St
Miami, FL 33175
Phone (305) 551-2165
1621 SW 107th Ave
Miami, FL 33165
Phone (786) 422-6525
6100 Blue Lagoon Dr
Ste 365
Miami, FL 33126
Phone (786) 322-7333
Interoperability endpoints
- eugenia.sierracastillo@cmg.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Community Medical Group
- Family Medicine Physician
- Miami, FL
- NPI 1184906646
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1285400515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1831628189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 BLUE LAGOON DR STE 365",
"city": "MIAMI",
"state": "FL",
"postal_code": "331267010",
"telephone_number": "786-322-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14285 SW 42ND ST STE 205",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756416",
"telephone_number": "305-551-2165",
"fax_number": "786-621-7812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIERRA CASTILLO",
"first_name": "EUGENIA",
"middle_name": "MELIDA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-09",
"last_updated": "2021-03-04",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9446865",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eugenia.sierracastillo@cmg.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "CMG",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Messaging",
"address_1": "14285 SW 42nd St Ste 205",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331756416",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.