Active NPI
Livingwell Comprehensive Medical & Psychiatric Care
- Psychiatric/Mental Health Nurse Practitioner
- Coconut Creek, FL
National Provider Identifier
1841920105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- LIVINGWELL COMPREHENSIVE MEDICAL & PSYCHIATRIC CARE
- Practice address
- 4651 N State Road 7 Ste 9
Coconut Creek, FL 33073-4378 - Phone
- (954) 807-3160
- Fax
- (561) 370-7906
- NPI assigned
- Jun 10, 2022
- 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
- Jean-Lesly Rigaud, DNP
- Title
- Ceo
- Phone
- (954) 807-3160
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4651 N State Road 7 Ste 9
Coconut Creek, FL 33073-4378
Mailing address
PO Box 970788
Boca Raton, FL 33497-0788
Phone (954) 807-3160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117534300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
6887 W Commercial Blvd
Lauderhill, FL 33319
Phone (561) 674-3955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700092800000",
"number": "1841920105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 970788",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334970788",
"telephone_number": "954-807-3160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4651 N STATE ROAD 7 STE 9",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330734378",
"telephone_number": "954-807-3160",
"fax_number": "561-370-7906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVINGWELL COMPREHENSIVE MEDICAL & PSYCHIATRIC CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-10",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A",
"authorized_official_last_name": "RIGAUD",
"authorized_official_first_name": "JEAN-LESLY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "954-807-3160",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117534300",
"state": "FL"
}
],
"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 Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.