Active NPI
Christina Deinnocentiis, MD
- Family Medicine Physician
- Eglin Afb, FL
National Provider Identifier
1952001703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 84594-20
- Practice address
- 307 Boatner Rd
Eglin Afb, FL 32542-1302 - Phone
- (850) 883-8600
- NPI assigned
- Mar 8, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 84594-20 | WI | Primary |
Addresses
Primary practice location
307 Boatner Rd
Eglin Afb, FL 32542-1302
Mailing address
307 Boatner Rd
Eglin Afb, FL 32542-1302
Phone (702) 653-3808
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84594-20 | WI | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1952001703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 BOATNER RD",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "325421302",
"telephone_number": "702-653-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 BOATNER RD",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "325421302",
"telephone_number": "850-883-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEINNOCENTIIS",
"first_name": "CHRISTINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-08",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "84594-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eglin Afb, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.