Christine Heninger Broken Leg, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

260807-1206 Issued in UT

Practice address

716 W 800 N # 300
Orem, UT 84057-6300

Phone

(801) 224-0421

Fax

(801) 224-0821

NPI assigned

Jul 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christine Heninger-Broken Leg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Utah Valley Pediatrics L.L.C.

  • Pediatrics Physician
  • Provo, UT
  • NPI 1497812721
  NPD (past)

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1740287861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W 800 N # 300",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840576300",
            "telephone_number": "801-224-0421",
            "fax_number": "801-224-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 W 800 N # 300",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840576300",
            "telephone_number": "801-224-0421",
            "fax_number": "801-224-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROKEN LEG",
        "first_name": "CHRISTINE",
        "middle_name": "HENINGER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "260807-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "HENINGER-BROKEN LEG",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Brinley
• Justin Broadbent, DDS
• Camyll Broadhead
• Sue Broadhead, LPN
• Alan F Brock
• Jennifer Elaine Bronsema
• Allison Brooks
• David Brooks
• Kiara Brooks
• Meagan Lavelle Brooks, CSW

• Medical Physician Assistant in Orem, UT
• Providers in Orem, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.