Individual provider Active NPI

Sheridan Castor, LAT, ATC

  • Athletic Trainer
  • Land O' Lakes, FL
National Provider Identifier
1851744650
Registry record updated Jul 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL4552 Issued in FL
Practice address
23661 Viento Dr
Apt 206
Land O Lakes, FL 34639-2874
Phone
(727) 457-1231
NPI assigned
Jul 16, 2016
Last updated
Jul 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL4552 FL Primary

Addresses

Primary practice location

23661 Viento Dr
Apt 206
Land O Lakes, FL 34639-2874

Mailing address

23661 Viento Dr
Apt 206
Land O Lakes, FL 34639-2874
Phone (727) 457-1231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AL4552FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468627200000",
    "number": "1851744650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23661 VIENTO DR",
            "address_2": "APT 206",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346392874",
            "telephone_number": "727-457-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23661 VIENTO DR",
            "address_2": "APT 206",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346392874",
            "telephone_number": "727-457-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTOR",
        "first_name": "SHERIDAN",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-16",
        "last_updated": "2016-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.