Individual provider Active NPI

Eugenia Melida Sierra Castillo

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1831628189
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9446865 Issued in FL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181219001410 FL Practitioner - Nurse Practitioner 0840535811 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9446865FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Group of Westchester, LLC. CurrentSince May 2, 2018 Accepting new patients
Gomez Behavioral Solution, LLC CurrentSince Dec 9, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.