Ayaba Med Spa, LLC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

Legal business name

AYABA MED SPA, LLC

Practice address

351 W Randol Mill Rd # 151
Arlington, TX 76011-5733

Phone

(844) 864-8928

NPI assigned

Feb 3, 2023

Organization subpart

No

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

Authorized official

Name

Tiffany Reynolds, APRN, WHNPNPI 1114583093

Title

Ceo

Phone

(888) 864-8928

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Reynolds, NP

  • Women's Health Nurse Practitioner
  • Dallas, TX
  • NPI 1114583093
  NPD Authorized official

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1629774310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST # 4488",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W RANDOL MILL RD # 151",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115733",
            "telephone_number": "844-864-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYABA MED SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-864-8928",
        "authorized_official_credential": "APRN, WHNP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Awida Hospice Care LLC
• Adejoke Adetoun Awoleye, NP
• Babatunde Thompson Awoleye
• Ademilola O Awoyemi
• Nader Jamal Awwad, D.C.
• Rafael Jesus Ayala Torres
• Korima Ayala
• Ayas Family Dentistry, P.C.
• Tarek Ayas, D.D.S., P.C.
• Vivian Ayena

• Women's Health Nurse Practitioner in Arlington, TX
• Providers in Arlington, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.