Active NPI
Kristen Zoppi, PA
- Physician Assistant
- Boynton Beach, FL
National Provider Identifier
1861709974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA910564
- Practice address
- 10301 Hagen Ranch Rd
Boynton Beach, FL 33437-3724 - Phone
- (561) 739-5252
- Fax
- (561) 739-5255
- NPI assigned
- Sep 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA910564 | FL | Primary |
| Medical Physician Assistant | 363AM0700X | PA9105604 | FL |
Addresses
Primary practice location
10301 Hagen Ranch Rd
Boynton Beach, FL 33437-3724
Mailing address
10301 Hagen Ranch Rd
Boynton Beach, FL 33437-3724
Phone (561) 739-5252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9105604 | Other | FL | LICENSE |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA910564 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1861709974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 HAGEN RANCH RD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373724",
"telephone_number": "561-739-5252",
"fax_number": "561-739-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 HAGEN RANCH RD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373724",
"telephone_number": "561-739-5252",
"fax_number": "561-739-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOPPI",
"first_name": "KRISTEN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-10",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA910564",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9105604",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA9105604",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.