Active NPI
Family Allergy & Asthma Consultants
- Specialist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AG327 | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1044979 | Family Allergy and Asthma Consultants PA | Certificate of waiver | Dec 15, 2026 |
National Provider Directory
National Provider DirectoryLocations
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
- https://fhir4.healow.com/fhir/r4/FCEFAA
- https://fhir4.healow.com/fhir/r4/HEHHBA
- 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.
-
- Allergy & Immunology Physician
- Jacksonville, FL
- NPI 1043519333
-
- Allergy & Immunology Physician
- Jacksonville, FL
- NPI 1215921895
-
- Pediatric Allergy/Immunology Physician
- Jacksonville, FL
- NPI 1053322586
-
- Nurse Practitioner
- Jacksonville, FL
- NPI 1326610585
-
- Medical Physician Assistant
- Jacksonville, FL
- NPI 1639470370
-
- Medical Physician Assistant
- Jacksonville, FL
- NPI 1144574476
-
- Allergy & Immunology Physician
- Jacksonville, FL
- NPI 1497749071
-
- Pediatric Allergy/Immunology Physician
- Gainesville, FL
- NPI 1861793192
-
- Allergy Physician
- Orange Park, FL
- NPI 1578598967
-
- Allergy Physician
- Jacksonville, FL
- NPI 1578517009
-
- Nurse Practitioner
- Jacksonville, FL
- NPI 1154268357
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
- Katherine D Falwell, PH.D., BCBA-D
- Fame Speech and Myo
- Famh Enterprise, LLC
- Familia Supporting Hand, LLC (Familia Supporting Hand)
- Families First Medical Group LLC
- Family Behavioral Support
- Family Care Partners of Northeast Florida LLC
- Family Care Partners of Northeast Florida LLC
- Family Care Partners of Northeast Florida LLC
- Family Care Partners Urgent Care, LLC (ERgent Care)
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.