Individual provider Active NPI

Nauha Aziz Darediya, PA-C

  • Physician Assistant
  • Boynton Beach, FL
National Provider Identifier
1649080433
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9050 Equus Cir
Boynton Beach, FL 33472-4314
Phone
(954) 400-9855
NPI assigned
Jan 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 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 Primary

Addresses

Primary practice location

9050 Equus Cir
Boynton Beach, FL 33472-4314

Mailing address

9050 Equus Cir
Boynton Beach, FL 33472-4314
Phone (954) 400-9855

Other names 1

  • Nauha Aziz Darediya Elkhouly Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1649080433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 EQUUS CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724314",
            "telephone_number": "954-400-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 EQUUS CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724314",
            "telephone_number": "954-400-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAREDIYA",
        "first_name": "NAUHA",
        "middle_name": "AZIZ",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAUHA",
            "last_name": "DAREDIYA ELKHOULY",
            "middle_name": "AZIZ",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.