Active NPI
Elaine Michelle Ayala
- Social Worker
- Indiantown, FL
National Provider Identifier
1982833216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 15818 SW Warfield Blvd
Indiantown, FL 34956-3513 - Phone
- (772) 597-0411
- NPI assigned
- Jul 8, 2009
- Last updated
- Jul 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
15818 SW Warfield Blvd
Indiantown, FL 34956-3513
Mailing address
2251 SW Cape Cod Dr
Port St Lucie, FL 34953-4565
Phone (772) 408-0053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900242545 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247011200000",
"number": "1982833216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 SW CAPE COD DR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349534565",
"telephone_number": "772-408-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15818 SW WARFIELD BLVD",
"city": "INDIANTOWN",
"state": "FL",
"postal_code": "349563513",
"telephone_number": "772-597-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYALA",
"first_name": "ELAINE",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-08",
"last_updated": "2009-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "900242545",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indiantown, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.