Individual provider Active NPI

Jennifer Allaire Ayars, DO

  • Family Medicine Physician
  • Taylor, TX
National Provider Identifier
1912345752
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R3470 Issued in TX
Practice address
403 Mallard LN
Taylor, TX 76574-1210
Phone
(512) 352-5251
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CO 28713 CO
Family Medicine Physician 207Q00000X R3470 TX Primary

Addresses

Primary practice location

403 Mallard LN
Taylor, TX 76574-1210

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

902 Lakeview Ave
Pueblo, CO 81004-3597
Phone (719) 557-5855

Other practice location 2

403 Mallard Ln
Taylor, TX 76574-1210
Phone (512) 352-5251

Other practice location 3

902 Lakeview Ave
Pueblo, CO 81004-3597
Phone (719) 557-5855

Other practice location 4

902 Lakeview Ave
Pueblo, CO 81004-3597
Phone (719) 557-5855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170809000737 TX Practitioner - Family Practice 3072884006 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
CO 28713COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C Kelly Family Clinic, PA Family Medicine CurrentSince Jan 23, 2023 Accepting new patients
Conviva Medical Center Management of Texas, P.a. Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Centerwell Senior Primary Care (SC) PC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Oria, LLC CurrentSince Jan 13, 2022 Accepting new patients
Texas State University Student Health Center Past Accepting new patients
Texas State University Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

3106 S W S Young Dr
Ste B202
Killeen, TX 76542
Phone (254) 628-0056

12602 Toepperwein Rd
Ste 100
Live Oak, TX 78233
Phone (210) 620-9669

794 Generations Dr
Ste 100
New Braunfels, TX 78130
Phone (210) 985-8572

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912345752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MALLARD LN",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765741210",
            "telephone_number": "512-352-5251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810043597",
            "country_code": "US",
            "telephone_number": "719-557-5855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 Mallard Ln",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "TX",
            "postal_code": "765741210",
            "country_code": "US",
            "telephone_number": "512-352-5251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810043597",
            "country_code": "US",
            "telephone_number": "719-557-5855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810043597",
            "country_code": "US",
            "telephone_number": "719-557-5855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYARS",
        "first_name": "JENNIFER",
        "middle_name": "ALLAIRE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CO 28713",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R3470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, TX

Sources for this page

Verify at the official NPI Registry.