Organization Active NPI

Ayala Family Care & Night Clinic, PLLC

  • Nurse Practitioner
  • Brownsville, TX
National Provider Identifier
1003544354
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
AYALA FAMILY CARE & NIGHT CLINIC, PLLC
Practice address
2250 N Minnesota Ave Ste C
Brownsville, TX 78521-5209
Phone
(956) 299-0714
NPI assigned
Aug 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Authorized official

Name
Jennifer Ayalal, FNP
Title
Nurse Practitioner
Phone
(956) 299-0714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

2250 N Minnesota Ave Ste C
Brownsville, TX 78521-5209

Mailing address

2250 N Minnesota Ave Ste C
Brownsville, TX 78521-5209
Phone (956) 299-0714

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ayalafamilycare1@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230113000620 TX Part B Supplier - Clinic/Group Practice 7517338320 Receives reassigned benefits from 1 practitioner
Practice locations: Brownsville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2273613Ayala Family Care & Night Clinic PLLC2250 N Minnesota Ave, Ste C, Brownsville, TX 78521Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory

Locations

2250 N Minnesota Ave
Ste C
Brownsville, TX 78521
Phone (956) 299-0714

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1003544354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N MINNESOTA AVE STE C",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785215209",
            "telephone_number": "956-299-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 N MINNESOTA AVE STE C",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785215209",
            "telephone_number": "956-299-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYALA FAMILY CARE & NIGHT CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "AYALAL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "956-299-0714",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ayalafamilycare1@gmail.com",
            "affiliation": "N",
            "address_1": "2250 N Minnesota Ave Ste C",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785215209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.