Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathlene Judith Ayala

Individual provider Family Nurse Practitioner · NPI 1831695519

Kathlene Judith Ayala is a Nurse Practitioner in Coconut Creek, Florida. Qualified in 2017, 9 years ago. Practices with Conviva Specialty LLC, an 18-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
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Practice location Address checks out

4828 Coconut Creek Pkwy
Coconut Creek, FL 33063
Phone: (954) 247-2168
Fax: (844) 501-2948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2131 N State Road 7, Margate, FL 33063-5713 — (954) 691-3178

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9347346 (FL)

Record details

NPI number1831695519
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 2, 2018
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Conviva Specialty Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Coconut Creek