Active NPI
Nazeeka Baksh, PA
- Physician Assistant
- Orlando, FL
National Provider Identifier
1992026611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9105375
- Practice address
- 14282 Anastasia LN
Orlando, FL 32828-4804 - Phone
- (650) 602-2074
- NPI assigned
- Jun 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | PA9105375 | FL | Primary |
Addresses
Primary practice location
14282 Anastasia LN
Orlando, FL 32828-4804
Mailing address
14282 Anastasia LN
Orlando, FL 32828-4804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004530600 | Medicaid | FL |
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
Interoperability endpoints
- nazeeka.baksh@552337174953988.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1992026611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14282 ANASTASIA LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328284804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14282 ANASTASIA LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328284804",
"telephone_number": "650-602-2074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKSH",
"first_name": "NAZEEKA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-16",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9105375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004530600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
- Teresa Ann Baker, AUD
- Timothy Brian Baker
- Tina Baker, M.S., M.F.T.
- Parkash Ashoke Bakhtiani, M.D.
- Fareea C Baksh, CAA
- Jayanthi Balachandran, M.D.
- Balance Massage and Structural Bodywork
- Balance Orlando Chiropractic Corp (Balance Orlando Chiropractic)
- Balance Psychiatry and Wellness LLC
- Balanced Life Counseling & Coaching
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.