Active NPI
Zadie Mae Engelberger, PA
- Physician Assistant
- Fort Walton Beach, FL
National Provider Identifier
1811875735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9120737
- Practice address
- 907 Mar Walt Dr Ste 2021
Fort Walton Beach, FL 32547-6756 - Phone
- (850) 988-6255
- NPI assigned
- Aug 27, 2025
- Sex
- Female
- Sole proprietor
- No
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 | PA9120737 | FL | Primary |
Addresses
Primary practice location
907 Mar Walt Dr Ste 2021
Fort Walton Beach, FL 32547-6756
Mailing address
907 Mar Walt Dr Ste 2021
Fort Walton Beach, FL 32547-6756
Phone (850) 988-6255
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 |
|---|---|---|---|
| PA9120737 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1811875735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 MAR WALT DR STE 2021",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476756",
"telephone_number": "850-988-6255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 MAR WALT DR STE 2021",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476756",
"telephone_number": "850-988-6255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELBERGER",
"first_name": "ZADIE",
"middle_name": "MAE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-27",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9120737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.