Individual provider Active NPI

Dorayda Igarza Ayala

  • Family Nurse Practitioner
  • Winter Haven, FL
National Provider Identifier
1861189003
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11024937 Issued in FL
Practice address
2775 Lake Alfred Rd
Winter Haven, FL 33881-1432
Phone
(863) 291-4590
NPI assigned
Apr 19, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20230518003594 FL Practitioner - Nurse Practitioner 4183080088 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11024937FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Care of North Florida, Inc Current Accepting new patients
American Care of North Florida, Inc CurrentSince Jul 24, 2024 Accepting new patients
American Care of North Florida, Inc CurrentSince Jul 24, 2024 Accepting new patients

Locations

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

1918 Blanding Blvd
Jacksonville, FL 32210
Phone (904) 389-6954

11211 N Nebraska Ave
Tampa, FL 33612
Phone (813) 514-2333

2775 Lake Alfred Rd
Winter Haven, FL 33881
Phone (863) 291-4590

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11024937 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

2775 Lake Alfred Rd
Winter Haven, FL 33881-1432

Mailing address

2775 Lake Alfred Rd
Winter Haven, FL 33881-1432
Phone (863) 291-4590

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 19, 2023.

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1861189003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 LAKE ALFRED RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811432",
            "telephone_number": "863-291-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 LAKE ALFRED RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811432",
            "telephone_number": "863-291-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGARZA AYALA",
        "first_name": "DORAYDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.