| Kathlene Judith Ayala, | |
|
4828 Coconut Creek Parkway, Coconut Creek, FL 33063 | |
| (954) 247-2168 | |
| (844) 501-2948 |
| Full Name | Kathlene Judith Ayala |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 4828 Coconut Creek Parkway, Coconut Creek, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831695519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9347346 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conviva Specialty Llc | 2365729308 | 12 |
| Entity Name | Conviva Specialty Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326498676 PECOS PAC ID: 2365729308 Enrollment ID: O20170501001372 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathlene Judith Ayala, 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Kathlene Judith Ayala, 4828 Coconut Creek Parkway, Coconut Creek, FL 33063 Ph: (954) 247-2168 |
Tatiana Nicole Jarrin, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6550 N State Road 7, Coconut Creek, FL 33073 Phone: 954-426-1100 | |
Jacqueline Dixon, BSN, RN, MSNFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4160 Nw 62nd Ct, Coconut Creek, FL 33073 Phone: 954-501-1668 | |
Diego Alejandro Cardona Orozco, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4250 Nw 30th St Apt 257, Coconut Creek, FL 33066 Phone: 305-389-1664 | |
Andra M Hanlon, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4570 Lyons Rd, #110, Coconut Creek, FL 33073 Phone: 954-971-3210 Fax: 954-971-3427 | |
Monika P. Michaeli, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4828 Coconut Creek Pkwy, Coconut Creek, FL 33063 Phone: 954-582-2828 Fax: 877-319-1851 | |
Dr. Jennifer Catherine Peterson, DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5561 Nw 49th Way, Coconut Creek, FL 33073 Phone: 954-234-1237 | |
Michelle Nichole Sin, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3679 Cocoplum Cir Unit 3528, Coconut Creek, FL 33063 Phone: 717-658-8353 |