SHIRLEY CASILLAS (NPI# 1952779290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952779290 |
| Entity Type | Individual |
| Full Name | SHIRLEY CASILLAS |
| Practice Address |
1102 A1a N Unit 104 Ponte Vedra Beach FL 32082-4098 |
| Mailing Address |
168 Hawthorn Hedge Ln Saint Johns FL 32259-4804 |
| Practice Telephone | 9042736533 |
| Practice Fax Number | 9042736532 |
| Mailing Telephone | 9043924355 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9308118 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1102 A1A N UNIT 104 |
| City | PONTE VEDRA BEACH |
| State | FL |
| Zip Code | 32082-4098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336131788 | Occuplay Inc | Occupational Therapist | 1102 A1a N, Suite 105, Ponte Vedra Beach, FL 32082-4098 | 2005-08-20 |
| 1205248309 | Nina Stevens | Nurse Practitioner | 1102 A1a N, Suite 104, Ponte Vedra Beach, FL 32082-4098 | 2014-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1568988129 | Mustafa Bakir | General Practice | 1102 A1a, Ponte Vedra Beach, FL 32082 | 2017-08-16 |
| 1457890584 | Angelyn Sorgen | Nurse Practitioner | 1102 Hwy A1a, Suite 104, Ponte Vedra Beach, FL 32082 | 2017-02-22 |
| 1033575121 | Balanced Physician Care Pa | Family Medicine | 115 Professional Park Drive, Suite 104, Ponte Vedra Beach, FL 32082 | 2016-01-06 |
| 1528436060 | Robert Thompson II | Chiropractor | 135 Professional Drive, Suite 105, Ponte Vedra Beach, FL 32082 | 2015-09-14 |
| 1144628439 | Integrative Medical Group, Usa, LLC | Clinic/Center | 1102 A1a North, Suite 104, Ponte Vedra Beach, FL 32082 | 2014-12-18 |
| 1811308901 | Janice Wachtel, Phd, LLC | Psychologist | 100 Executive Way, Suite 110, Ponte Vedra Beach, FL 32082 | 2014-05-12 |
| 1578991154 | Nicole Theiler | Counselor | 171 Canal Blvd, Ponte Vedra Beach, FL 32082 | 2013-10-17 |
| 1982948006 | Daisamma Varghese | Nurse Practitioner | 860 A1an, Ponte Vedra, FL 32082 | 2012-11-15 |
| Find all providers in zip 32082 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174161962 | Cesci Wright | Nurse Practitioner | 296 Princess Dr, Ponte Vedra Beach, FL 32081-5050 | 2019-12-12 |
| 1457890584 | Angelyn Sorgen | Nurse Practitioner | 1102 Hwy A1a, Suite 104, Ponte Vedra Beach, FL 32082 | 2017-02-22 |
| 1609968163 | Megan Regina Weigel | Nurse Practitioner | 135 Professional Dr Ste 105, Ponte Vedra Beach, FL 32082 | 2006-09-29 |
| 1881648772 | Karen Elizabeth Kelly | Nurse Practitioner | 226 Cranes Lake Dr, Ponte Vedra Beach, FL 32082-1616 | 2006-05-22 |
| 1578108601 | Rachel Leigh Klipstine | Nurse Practitioner | 1102 A1a N Ste 104, Ponte Vedra Beach, FL 32082-4098 | 2019-11-13 |
| 1598228645 | Kristin Koren | Nurse Practitioner | 1102 A1a N Ste 104, Ponte Vedra Beach, FL 32082-4098 | 2019-04-06 |
| 1558848697 | Sharon Angela Prince | Nurse Practitioner | 209 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 | 2018-07-22 |
| 1124561212 | Tracie Nusca Parrish | Nurse Practitioner | 152 Front St, Ponte Vedra Beach, FL 32082-3058 | 2016-11-22 |
| 1205248309 | Nina Stevens | Nurse Practitioner | 1102 A1a N, Suite 104, Ponte Vedra Beach, FL 32082-4098 | 2014-05-22 |
| 1639580236 | Andrea Distefano | Nurse Practitioner | 103 Solana Rd, Suite B, Ponte Vedra Beach, FL 32082-2231 | 2014-05-16 |
| Find all providers in PONTE VEDRA BEACH | ||||
| City | PONTE VEDRA BEACH |
| Zip Code | 32082 |
Please comment or provide details below to improve the information on SHIRLEY CASILLAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.