Andres Ayala, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F11250109 Issued in FL

Practice address

2999 Lantana Lakes Dr E
Jacksonville, FL 32246-1817

Phone

(904) 763-5353

NPI assigned

Nov 5, 2025

Last updated

Nov 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1467322495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 LANTANA LAKES DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322461817",
            "telephone_number": "904-763-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 LANTANA LAKES DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322461817",
            "telephone_number": "904-763-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "ANDRES",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F11250109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Axiom Pain Management, LLC
• Salwa S Ayad, M.D.
• Ayadaway Health Services LLC
• Alicia Elisa Ayala Laconich, PH.D IN PSYCHOLOGY
• Carla Ayala Soriano, MD
• Ernesto Ayala, MD
• Monica Ayala
• Charles Mosadoluwa Ayanleke, MD
• Alexandra Kaley Aycock, DPT
• Carl Alexander Aycock, DPT

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.