Organization Active NPI

Nancy Dagostino PA

  • Speech-Language Pathologist
  • Coconut Creek, FL
National Provider Identifier
1245293703
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA342 Issued in FL
Legal business name
NANCY DAGOSTINO PA
Practice address
3410 NW 21St St
Coconut Creek, FL 33066-3014
Phone
(954) 956-0857
Fax
(954) 971-0921
NPI assigned
Apr 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Nancy Dagostino, M.S.NPI 1477744969
Title
Speech Pathologist
Phone
(954) 326-8195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA342 FL Primary

Addresses

Primary practice location

3410 NW 21St St
Coconut Creek, FL 33066-3014

Mailing address

3410 NW 21St St
Coconut Creek, FL 33066-3014
Phone (954) 956-0857

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245293703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 NW 21ST ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330663014",
            "telephone_number": "954-956-0857",
            "fax_number": "954-971-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 NW 21ST ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330663014",
            "telephone_number": "954-956-0857",
            "fax_number": "954-971-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY DAGOSTINO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAGOSTINO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "954-326-8195",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA342",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.