Alaysha Clark

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

11309 Chilly Water CT
Riverview, FL 33569-2059

Phone

(813) 507-5878

NPI assigned

May 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Magnolia Fields Afch LLC

  • Assisted Living Facility
  • Riverview, FL
  • NPI 1467181925
  NPD Authorized official

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1083352215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11309 CHILLY WATER CT",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335692059",
            "telephone_number": "813-507-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11309 CHILLY WATER CT",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335692059",
            "telephone_number": "813-507-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALAYSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valentina Cicero
• Julie S Cintron, APRN
• Ciotti Vision, LLC
• Reanne Ryan Ciotti, OD
• Kirbee Cirasuolo
• Crystal Nache Clark, LMHC
• Deanna Lynn Clark
• Kaylin Clark
• Lorena K. C. Clark, ARNP-C
• Yvonne Joan Clarke, ARNP

• Adult Care Home Facility in Riverview, FL
• Providers in Riverview, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.