Active NPI
Nancy Dagostino PA
- Speech-Language Pathologist
- Coconut Creek, FL
National Provider Identifier
1245293703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA342
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nancy Dagostino, M.S.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Coconut Creek, FL
- NPI 1477744969
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.