Individual provider Active NPI

Jennifer Ayala, FNP-BC

  • Family Nurse Practitioner
  • Brownsville, TX
National Provider Identifier
1306447743
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1015386 Issued in TX
Practice address
2250 N Minnesota Ave Ste C
Brownsville, TX 78521-8546
Phone
(956) 548-9488
Fax
(949) 655-2768
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1015386 TX
Family Nurse Practitioner 363LF0000X 1015386 TX Primary

Addresses

Primary practice location

2250 N Minnesota Ave Ste C
Brownsville, TX 78521-8546

Mailing address

2250 N Minnesota Ave Ste C
Brownsville, TX 78521-8546
Phone (956) 299-0714

Other practice location 1

320 N Williams Rd
San Benito, TX 78586-4118
Phone (956) 361-5009

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220315001503 TX Practitioner - Nurse Practitioner 9133514995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

2250 N Minnesota Ave
Suite C
Brownsville, TX 78521-8546
Phone (956) 538-9488

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jamie Rocky Salinas MD PA CurrentSince Nov 1, 2020 Accepting new patients

Locations

320 N Williams Rd
San Benito, TX 78586
Phone (956) 361-5009

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1306447743",
    "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": "785218546",
            "telephone_number": "956-299-0714",
            "fax_number": "949-655-2768"
        },
        {
            "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": "785218546",
            "telephone_number": "956-548-9488",
            "fax_number": "949-655-2768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 N Williams Rd",
            "address_purpose": "LOCATION",
            "city": "San Benito",
            "state": "TX",
            "postal_code": "785864118",
            "country_code": "US",
            "telephone_number": "956-361-5009",
            "fax_number": "956-361-4539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALA",
        "first_name": "JENNIFER",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1015386",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1015386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.