Individual provider Active NPI

Jessica Trusz Cannava, PA-C

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1295801116
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9114848 Issued in FL
Practice address
333 Camino Gardens Blvd Ste 102
Boca Raton, FL 33432-5824
Phone
(561) 756-9525
NPI assigned
Nov 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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 9114848 FL Primary

Addresses

Primary practice location

333 Camino Gardens Blvd Ste 102
Boca Raton, FL 33432-5824

Mailing address

333 Camino Gardens Blvd Ste 102
Boca Raton, FL 33432-5824

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

State licenses

LicenseStateTypeSpecialty
9114848FLMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1295801116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CAMINO GARDENS BLVD STE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CAMINO GARDENS BLVD STE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325824",
            "telephone_number": "561-756-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNAVA",
        "first_name": "JESSICA",
        "middle_name": "TRUSZ",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9114848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.