Individual provider Active NPI

Hina Anjom Laeeq, PA

  • Medical Physician Assistant
  • Belle Glade, FL
National Provider Identifier
1972665651
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA04855 Issued in TX
Practice address
217 W Avenue a
Belle Glade, FL 33430-3019
Phone
(561) 992-4888
Fax
(561) 992-4488
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA04855 TX Primary

Addresses

Primary practice location

217 W Avenue a
Belle Glade, FL 33430-3019

Mailing address

217 W Avenue a
Belle Glade, FL 33430-3019
Phone (561) 992-4888

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

LicenseStateTypeSpecialty
PA04855TXMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: hinalaeeq@777.securemail.prognocis.com
  • Direct secure messaging: hlaeeq@714.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1972665651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W AVENUE A",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303019",
            "telephone_number": "561-992-4888",
            "fax_number": "561-992-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W AVENUE A",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303019",
            "telephone_number": "561-992-4888",
            "fax_number": "561-992-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAEEQ",
        "first_name": "HINA",
        "middle_name": "ANJOM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Glade, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.