Individual provider Active NPI

Ingrid L Avila

  • Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1649871385
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11008341 Issued in FL
Practice address
6238 Atlantic Ave
Delray Beach, FL 33484-3501
Phone
(561) 278-1910
NPI assigned
Nov 7, 2020
Last updated
Jan 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11008341 FL Primary

Addresses

Primary practice location

6238 Atlantic Ave
Delray Beach, FL 33484-3501

Mailing address

460 NW 20TH St Apt 315
Boca Raton, FL 33431-7916
Phone (561) 674-5609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119001346 FL Practitioner - Nurse Practitioner 4183037815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Phone (561) 336-7000

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

6238 Atlantic Ave
Suite 100
Delray Beach, FL 33484-3501
Phone (561) 278-1910

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11008341FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Palm Cardiovascular Associates LLC CurrentSince Oct 1, 2023 Accepting new patients
South Palm Cardiovascular Associates LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

2300 S Congress Ave
Ste 105
Boynton Beach, FL 33426
Phone (561) 733-5001

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

13550 S Jog Rd
Ste 204
Delray Beach, FL 33446
Phone (561) 637-4200

6238 Atlantic Ave
Delray Beach, FL 33484
Phone (561) 278-1910

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1649871385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 NW 20TH ST APT 315",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317916",
            "telephone_number": "561-674-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6238 ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334843501",
            "telephone_number": "561-278-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "INGRID",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-07",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11008341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.