Active NPI
Kaly Castellanos, ARNP
- Nurse Practitioner
- Miami, FL
National Provider Identifier
1992015705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11001910
- Practice address
- 7950 NW 53Rd St Unit 114
Miami, FL 33166 - Phone
- (305) 322-9029
- Fax
- (786) 329-6472
- NPI assigned
- Oct 14, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | MA46118 | FL | |
| Nurse Practitioner | 363L00000X | APRN11001910 | FL | Primary |
Addresses
Primary practice location
7950 NW 53Rd St Unit 114
Miami, FL 33166
Mailing address
845 SW 174TH Terrace
Pembroke Pines, FL 33029
Phone (786) 768-3980
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA46118 | FL | MD | Rehabilitation Chiropractor |
| APRN11001910 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1992015705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 SW 174TH TERRACE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33029",
"telephone_number": "786-768-3980",
"fax_number": "305-558-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 NW 53RD ST UNIT 114",
"city": "MIAMI",
"state": "FL",
"postal_code": "33166",
"telephone_number": "305-322-9029",
"fax_number": "786-329-6472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLANOS",
"first_name": "KALY",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-14",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "MA46118",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11001910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.