Organization Active NPI

Family Allergy & Asthma Consultants

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1447312947
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FAMILY ALLERGY & ASTHMA CONSULTANTS
Practice address
4123 University Blvd S
Suite B
Jacksonville, FL 32216-4371
Phone
(904) 636-9102
Fax
(904) 636-9102
NPI assigned
Dec 14, 2006
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Lallaine Villegas
Title
Anco
Phone
(904) 636-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4123 University Blvd S
Suite B
Jacksonville, FL 32216-4371

Mailing address

4123 University Blvd S
Suite B
Jacksonville, FL 32216-4371
Phone (904) 636-9102

Other identifiers 1

IdentifierTypeStateIssuer
AG327OtherMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070525000290 FL Part B Supplier - Clinic/Group Practice 9436256476 Receives reassigned benefits from 8 practitioners
Practice locations: Orange Park, FL; Ponte Vedra Beach, FL; Jacksonville, FL

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
10D1044979Family Allergy and Asthma Consultants PA4123 University Blvd S #B, Jacksonville, FL 32216Certificate of waiverDec 15, 2026

National Provider Directory

National Provider Directory

Locations

11701 San Jose Blvd
#117
Jacksonville, FL 32223
Phone (904) 636-9100

12276 San Jose Blvd
Ste 609
Jacksonville, FL 32223
Phone (904) 636-9100

1375 Roberts Dr
Ste 203
Jax Bch, FL 32250
Phone (904) 636-9100

135 Professional Dr
Ste 106
Ponte Vedra Beach, FL 32082
Phone (904) 636-9100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCEFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHHBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJFCA

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1447312947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 UNIVERSITY BLVD S",
            "address_2": "SUITE B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164371",
            "telephone_number": "904-636-9102",
            "fax_number": "904-636-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 UNIVERSITY BLVD S",
            "address_2": "SUITE B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164371",
            "telephone_number": "904-636-9102",
            "fax_number": "904-636-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ALLERGY & ASTHMA CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "VILLEGAS",
        "authorized_official_first_name": "LALLAINE",
        "authorized_official_title_or_position": "ANCO",
        "authorized_official_telephone_number": "904-636-9100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AG327",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.