Individual provider Active NPI

Alayah Thresa Matamoros, APRN

  • Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1386496446
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11032084 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-6261
Phone
(352) 273-5422
NPI assigned
Apr 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11032084 FL Primary
Pediatric Nurse Practitioner 363LP0200X 11032084 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11032084 FL

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-6261

Mailing address

9147 SW 197TH Cir
Dunnellon, FL 34432-2685
Phone (405) 822-1814

Other practice location 1

5401 SE 80th St
Oklahoma City, OK 73135-6261
Phone (405) 822-1814

Other identifiers 1

IdentifierTypeStateIssuer
123336800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11032084FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mariposa Integrative Psychiatry Psychiatric/Mental Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aramsey723750@direct.shands.ufl.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1386496446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9147 SW 197TH CIR",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344322685",
            "telephone_number": "405-822-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326106261",
            "telephone_number": "352-273-5422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 SE 80th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731356261",
            "country_code": "US",
            "telephone_number": "405-822-1814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATAMOROS",
        "first_name": "ALAYAH",
        "middle_name": "THRESA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11032084",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11032084",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11032084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123336800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.