CRYSTAL LYNN AYALA


Address: 3501 Johnson Street, Hollywood, FL 33021
Phone: 9542657750

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).

Provider Overview

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

Taxonomy

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

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NPI Name Taxonomy Address Enumeration
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Office Location

Street Address 3501 JOHNSON STREET
City HOLLYWOOD
State FL
Zip Code 33021

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City HOLLYWOOD
Zip Code 33021

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Dataset Information

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.

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