Valentina Shtefan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9107595 Issued in FL

Practice address

5463 Lyons Rd Ste H
Coconut Creek, FL 33073-2828

Phone

(954) 909-2191

NPI assigned

Jul 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1311465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1811275902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3361 NW 21ST CT",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662223",
            "telephone_number": "802-355-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5463 LYONS RD STE H",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732828",
            "telephone_number": "954-909-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHTEFAN",
        "first_name": "VALENTINA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-24",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "181112750902",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karina Lissette Sharpe, D.C
• Serene Shehadeh, MD, MPH
• Nicholas Sheriff
• Richard Lawrence Sherman, D.C.
• Rose Shin, LCSW
• Pamela Siclari
• Rubens Sievert, M.D.
• Hector Sigler
• Diva Elena Silva
• Ashley Silvey, APRN-BC

• Physician Assistant in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.