Coastal River Wellness of Alabama

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COASTAL RIVER WELLNESS OF ALABAMA

Doing business as

Coastal River Wellness Of Alabama

Practice address

620 Highway 43 S Ste F
Saraland, AL 36571-3603

Phone

(251) 510-8134

NPI assigned

Dec 13, 2023

Last updated

Dec 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Elisabeth Sheppard

Title

Owner

Phone

(251) 510-8134

Specialties & licenses 1

Addresses

Other names 1

• Coastal River Wellness Of Alabama Doing business as

Locations

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1053189662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9560 GALLOPS CREEK DR",
            "city": "WILMER",
            "state": "AL",
            "postal_code": "365879300",
            "telephone_number": "251-510-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HIGHWAY 43 S STE F",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365713603",
            "telephone_number": "251-510-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL RIVER WELLNESS OF ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELISABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-510-8134"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal River Wellness Of Alabama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Anne Chorvat, PA
• CK Family Dental, LLC (CK Family Dental)
• Elisabeth Danielle Clark
• Joshua Dane Clarke, CRNP
• Coastal Hospice Care, Inc. (Coastal Hospice)
• Cole Vision Corporation
• Comfort Dental of Saraland
• Complete Vitality
• Wynetta Latoya Denise Cooks
• Christine Marie Cox, CRNP

• Family Medicine Physician in Saraland, AL
• Providers in Saraland, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.