Individual provider Active NPI

Christina Elizabeth Hejja, P.A.

  • Physician Assistant
  • Coral Springs, FL
National Provider Identifier
1164639647
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102117 Issued in FL
Practice address
3100 Coral Hills Dr Ste 305
Coral Springs, FL 33065-4138
Phone
(954) 575-8056
Fax
(954) 575-2563
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102117 FL Primary

Addresses

Primary practice location

3100 Coral Hills Dr Ste 305
Coral Springs, FL 33065-4138

Mailing address

3100 Coral Hills Dr Ste 305
Coral Springs, FL 33065-4138
Phone (954) 575-8056

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9102117FLMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1164639647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CORAL HILLS DR STE 305",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654138",
            "telephone_number": "954-575-8056",
            "fax_number": "954-575-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CORAL HILLS DR STE 305",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654138",
            "telephone_number": "954-575-8056",
            "fax_number": "954-575-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEJJA",
        "first_name": "CHRISTINA",
        "middle_name": "ELIZABETH",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.