CRYSTAL LYNN AYALA (NPI# 1790266781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790266781 |
Entity Type | Individual |
Full Name | CRYSTAL LYNN AYALA |
Credential | ARNP |
Practice Address |
3501 Johnson Street Hollywood FL 33021 |
Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
Practice Telephone | 9542657750 |
Practice Fax Number | 9542760280 |
Mailing Telephone | 9542765685 |
Mailing Fax Number | 9549857074 |
Enumeration Date | 2018-08-27 |
Last Update Date | 2018-09-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | ARNP9355173 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9355173 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720619752 | Crystal Ayala | Counselor | 220 Thunderbird Dr Ste 15, El Paso, TX 79912-3911 | 2020-01-29 |
Street Address |
3501 JOHNSON STREET |
City | HOLLYWOOD |
State | FL |
Zip Code | 33021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477559961 | Maria C Barrientos | Nurse Practitioner | 3501 Johnson Street, Third Floor, Hollywood, FL 33021-5421 | 2005-06-21 |
1679088868 | Melissa Chamberlain | Nurse Practitioner | 3501 Johnson Street, Third Floor, Hollywood, FL 33021-5421 | 2017-12-09 |
1912450610 | Amy Christian Deramo | Nurse Practitioner | 3501 Johnson Street, Hollywood, FL 33021 | 2016-07-28 |
1275939282 | Doreen Grant | Nurse Practitioner | 3501 Johnson Street, Hollywood, FL 33021 | 2014-11-18 |
1053728659 | Elizabeth Rena Marshall | Social Worker | 3501 Johnson Street, Radiation Oncology - Oncology Social Worker, Hollywood, FL 33021 | 2014-07-15 |
1942622048 | Jennifer Santoro | Nurse Anesthetist, Certified Registered | 3501 Johnson Street, Hollywood, FL 33021 | 2014-01-09 |
1407283617 | Sara Patricia Brusco | Anesthesiologist Assistant | 3501 Johnson Street, Hollywood, FL 33021-5421 | 2013-10-02 |
1124398078 | Alison Davis-lavandosky | Physician Assistant | 3501 Johnson Street, Hollywood, FL 33027 | 2012-01-10 |
1467757807 | Johanna M. Forero-moylan | Nurse Anesthetist, Certified Registered | 3501 Johnson Street, Hollywood, FL 33021 | 2011-01-16 |
1336461722 | Sheri Jean Antoinette | Nurse Anesthetist, Certified Registered | 3501 Johnson Street, Hollywood, FL 33021-5421 | 2010-02-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
Find all providers in zip 33021 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235739897 | Vanessa Arias | Nurse Practitioner | 931 S Park Rd Apt 207, Hollywood, FL 33021-8762 | 2020-10-31 |
1659979656 | Hendy Aubourg | Nurse Practitioner | 6940 Tyler St, Hollywood, FL 33024-7456 | 2020-10-12 |
1811509920 | Cynthia Remy | Nurse Practitioner | 11178 Mainsail Dr, Hollywood, FL 33026-4726 | 2020-08-19 |
1487264040 | Jorge Rolando Remon | Nurse Practitioner | 6230 Garfield St, Hollywood, FL 33024-5943 | 2020-08-07 |
1922618115 | Alba M Beltran | Nurse Practitioner | 7361 Cleveland St, Hollywood, FL 33024-5463 | 2020-08-03 |
1588280630 | Jackelyn Mi Bhattarai | Nurse Practitioner | 11018 Nashville Dr, Hollywood, FL 33026-4966 | 2020-06-24 |
1194349308 | Bethany Laquell Ellis | Nurse Practitioner | 210 S Federal Hwy Ste 300, Hollywood, FL 33020-6811 | 2020-06-03 |
1255951026 | Nicole Blum | Nurse Practitioner | 4712 Arthur St, Hollywood, FL 33021-4737 | 2020-04-22 |
1497383103 | Vanessa D King-smith | Nurse Practitioner | 6660 Meade St, Hollywood, FL 33024-1914 | 2020-03-29 |
1538793039 | Lyudmyla Tymtsyas | Nurse Practitioner | 4200 Hillcrest Dr Apt 304, Hollywood, FL 33021-7900 | 2020-02-24 |
Find all providers in HOLLYWOOD |
Please comment or provide details below to improve the information on CRYSTAL LYNN AYALA.
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.