Active NPI
Cristina Sifuentes-Ayala, PA-C, MS,RD,IBCLC
- Physician Assistant
- Port Neches, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA19088
- Practice address
- 2645 Nall St
Port Neches, TX 77651-4707 - Phone
- (409) 210-3336
- NPI assigned
- Nov 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT83900 | TX | |
| Physician Assistant | 363A00000X | PA19088 | TX | Primary |
Addresses
Primary practice location
2645 Nall St
Port Neches, TX 77651-4707
Mailing address
2645 Nall St
Port Neches, TX 77651
Other practice location 1
2927 Nall St
Port Neches, TX 77651-5603
Phone (409) 210-3336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2927 Nall St
Port Neches, TX 77651-5603
Phone (409) 210-3336
4310 Dowlen Rd
Suite 16
Beaumont, TX 77706-6861
Phone (409) 299-4448
Hospital & facility affiliations
- Christus Southeast Texas- St Elizabeth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT83900 | TX | MD | Registered Dietitian |
| PA19088 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etx Medical Group, PLLC | Current | Accepting new patients | |
| Ortho-Tek Inc | Past | Accepting new patients | |
| Ortho-Tek Inc | Past | Accepting new patients |
Locations
4310 Dowlen Rd
Ste 16
Beaumont, TX 77706
Phone (409) 299-4448
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1629669684
-
- Family Medicine Physician
- Port Neches, TX
- NPI 1104824507
-
- Durable Medical Equipment & Medical Supplies
- Nacogdoches, TX
- NPI 1205898541
-
- Durable Medical Equipment & Medical Supplies
- Nacogdoches, TX
- NPI 1942687371
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1679557888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1285008136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 NALL ST",
"city": "PORT NECHES",
"state": "TX",
"postal_code": "77651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 NALL ST",
"city": "PORT NECHES",
"state": "TX",
"postal_code": "776514707",
"telephone_number": "409-210-3336"
}
],
"practiceLocations": [
{
"address_1": "2927 Nall St",
"address_purpose": "LOCATION",
"city": "Port Neches",
"state": "TX",
"postal_code": "776515603",
"country_code": "US",
"telephone_number": "409-210-3336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIFUENTES-AYALA",
"first_name": "CRISTINA",
"credential": "PA-C, MS,RD,IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-16",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT83900",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA19088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Neches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.