Organization Active NPI

Livingwell Comprehensive Medical & Psychiatric Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Coconut Creek, FL
National Provider Identifier
1841920105
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Nov 16, 2023

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
117534300MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.