Active NPI
Samantha Aessa, PA
- Physician Assistant
- Plantation, FL
National Provider Identifier
1689544116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9120863
- Practice address
- 469 N Pine Island Rd Apt B101
Plantation, FL 33324-1851 - Phone
- (847) 804-6417
- NPI assigned
- Nov 10, 2025
- Last updated
- Nov 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9120863 | FL | Primary |
Addresses
Primary practice location
469 N Pine Island Rd Apt B101
Plantation, FL 33324-1851
Mailing address
469 N Pine Island Rd Apt B101
Plantation, FL 33324-1851
Phone (847) 804-6417
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9120863 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1689544116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "469 N PINE ISLAND RD APT B101",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241851",
"telephone_number": "847-804-6417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 N PINE ISLAND RD APT B101",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241851",
"telephone_number": "847-804-6417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AESSA",
"first_name": "SAMANTHA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-10",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9120863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
- Advanced Diagnostic Incorporated
- Advanced Surgical Center, LLC (Plantation Surgery Center)
- Advanced Therapy Concepts of Broward Inc
- Natalia Advolodkin
- Aegis Place LLC.
- Aetna Better Health of Florida Inc - Reg 11
- Aetna Better Health of Florida Inc - Reg 11
- Aetna Better Health of Florida Inc - Reg 11
- Aetna Health Inc. a Florida Corporation
- Aetna RX Home Delivery
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.