Individual provider Active NPI

Ragda Hasan

  • Massage Therapist
  • Boynton Beach, FL
National Provider Identifier
1942694625
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
77447 Issued in FL
Practice address
4319 Star Ruby Blvd
Boynton Beach, FL 33436-1611
Phone
(561) 452-7312
NPI assigned
Mar 20, 2015
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9491979 FL
Massage Therapist 225700000X 77447 FL Primary

Addresses

Primary practice location

4319 Star Ruby Blvd
Boynton Beach, FL 33436-1611

Mailing address

4319 Star Ruby Blvd
Boynton Beach, FL 33436-1611
Phone (561) 452-7312

Other names 1

  • Raghdaa Hassan Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9491979FLMDRegistered Nurse
77447FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1942694625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 STAR RUBY BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361611",
            "telephone_number": "561-452-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 STAR RUBY BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361611",
            "telephone_number": "561-452-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "RAGDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-20",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9491979",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "77447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAGHDAA",
            "last_name": "HASSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.