Jacqueline Hollander

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

13005 Southern Blvd Ste 111
Loxahatchee, FL 33470-9231

Phone

(561) 798-2002

NPI assigned

Mar 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: jacqueline.hollander.1@18542.direct.athenahealth.com

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.

• Advanced Cardiovascular Consultants LLC

  • Cardiovascular Disease Physician
  • West Palm Beach, FL
  • NPI 1306329370
  Medicare reassignment
• Michael J. Sinclair, M.D. PA

  • Family Medicine Physician
  • Loxahatchee, FL
  • NPI 1720381502

  Single Specialty

  NPD (past)
• Your Good Health Medical Group PA

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
  • NPI 1316970981

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1912656117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 S CONGRESS AVE STE 1A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD STE 111",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709231",
            "telephone_number": "561-798-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANDER",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hidden Pines Alf
• Nancy Higgins
• Christopher Thomas Hoff, PTA
• Holiday Quality Care Services Inc.
• David Thorne Holland, DDS
• Martha C Holley, NP
• Holly Creek Star Center, Inc.
• Jordyn Mariah Holmes
• Ebrahim Hoosien, MD
• Houser Surgical

• Physician Assistant in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.