Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TESSA YEGANEH SHIVAZAD APRN
NPI 1003776832
Nurse Practitioner in Coconut Creek, FL

Q: What is Tessa Shivazad's NPI number?

The NPI number for Tessa Shivazad is 1003776832. It was assigned to this individual provider in the NPPES registry on November 14, 2025.

Q: What is Tessa Shivazad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tessa Shivazad was last updated on November 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 14, 2025

4515 WILES RD STE 201, COCONUT CREEK, FL 33073(954) 943-1133(954) 783-6845 Get Directions Write a Review

NPPES record last updated: November 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 1, 2026, Oct 13, 2026, Nov 14, 2025 (3 updates tracked since 2025).

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About Tessa Yeganeh Shivazad Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TESSA YEGANEH SHIVAZAD APRN (NPI 1003776832) is an individual nurse practitioner in Coconut Creek, Florida, licensed in Florida (APRN11044647) and active in the NPI registry since November 2025. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003776832

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTESSA YEGANEH SHIVAZADCredential: APRN

Location Address4515 WILES RD STE 201Coconut Creek, FL 33073-3414

Mailing Address7219 Primrose LnTamarac, FL 33321-5341 · (954) 670-4640

Phone(954) 943-1133

Fax(954) 783-6845

Sole ProprietorNo

Enumeration DateNovember 14, 2025

Last NPPES UpdateNovember 1, 20263 updates tracked since enumeration

NPPES CertifiedNovember 1, 2026

✔ NPI 1003776832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11044647

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4515 WILES RD STE 201, Coconut Creek, FL 33073

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Secondary Practice Locations 2

Location 17219 Primrose LnTamarac, FL 33321-5341 · Phone (954) 670-4640

Location 25258 Linton Blvd Ste 203Delray Beach, FL 33484-6529 · Phone (954) 943-1133

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIGESTIVE HEALTH CENTER OF SOUTH FLORIDA PLLC

Internal Medicine (Gastroenterology)