Individual provider Active NPI

Nastassia Ragoonan, NP

  • Family Nurse Practitioner
  • Coconut Creek, FL
National Provider Identifier
1164977443
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9369140 Issued in FL
Practice address
5379 Lyons Rd # 1565
Coconut Creek, FL 33073-2810
Phone
(954) 406-1767
NPI assigned
Aug 16, 2016
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9369140 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 62207 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404634-01 NY
Family Nurse Practitioner 363LF0000X APRN9369140 FL Primary
Family Nurse Practitioner 363LF0000X 62207 NM

Addresses

Primary practice location

5379 Lyons Rd # 1565
Coconut Creek, FL 33073-2810

Mailing address

5379 Lyons Rd # 1565
Coconut Creek, FL 33073-2810

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
62207NMMDFamily Nurse Practitioner
APRN9369140FLMDPsychiatric/Mental Health Nurse Practitioner
F404634-01NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1164977443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5379 LYONS RD # 1565",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5379 LYONS RD # 1565",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732810",
            "telephone_number": "954-406-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGOONAN",
        "first_name": "NASTASSIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9369140",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "62207",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404634-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9369140",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "62207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.