Individual provider Active NPI

Christina Laubernds, PA-C

  • Physician Assistant
  • Lake Worth, FL
National Provider Identifier
1295414761
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117387 Issued in FL
Practice address
5808 S Jog Rd
Lake Worth, FL 33467-6511
Phone
(561) 968-7546
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 PA9117387 FL Primary

Addresses

Primary practice location

5808 S Jog Rd
Lake Worth, FL 33467-6511

Mailing address

5808 S Jog Rd
Lake Worth, FL 33467-6511
Phone (561) 968-7546

Other practice location 1

1100 S Federal Hwy Ste 100
Deerfield Beach, FL 33441-7000
Phone (954) 943-9670

Other practice location 2

715 W Boynton Beach Blvd Ste C
Boynton Beach, FL 33426-3625
Phone (561) 968-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230822003304 FL Practitioner - Physician Assistant 3678936770 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9117387FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Francisco Flores MD PA Current Accepting new patients

Locations

14601 SW 29th St
Ste 206
Miramar, FL 33027
Phone (954) 885-5551

Interoperability endpoints

  • Direct secure messaging: claubernds1@dermcpb.emadirect.md
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00136
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00135

Organizations & group practices 3

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": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1295414761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 S JOG RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676511",
            "telephone_number": "561-968-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 S JOG RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676511",
            "telephone_number": "561-968-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Federal Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334417000",
            "country_code": "US",
            "telephone_number": "954-943-9670",
            "fax_number": "954-943-9671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 W Boynton Beach Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334263625",
            "country_code": "US",
            "telephone_number": "561-968-7546",
            "fax_number": "561-968-1143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUBERNDS",
        "first_name": "CHRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.