Active NPI
Coastal Grace & Wellness
- Family Nurse Practitioner
- Berlin, MD
National Provider Identifier
1073422572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- COASTAL GRACE & WELLNESS
- Practice address
- 20 Broad Street
Box #22
Berlin, MD 21811 - Phone
- (443) 513-1751
- NPI assigned
- Sep 2, 2026
- 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
- Mrs. Heather M Mason, CRNP, FNP-C
- Title
- Owner, Operator, Pracitioner
- Phone
- (443) 513-1751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
20 Broad Street
Box #22
Berlin, MD 21811
Mailing address
20 Broad Street
Box #22
Berlin, MD 21811
Phone (443) 513-1751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1073422572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BROAD STREET",
"address_2": "BOX #22",
"city": "BERLIN",
"state": "MD",
"postal_code": "21811",
"telephone_number": "443-513-1751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 BROAD STREET",
"address_2": "BOX #22",
"city": "BERLIN",
"state": "MD",
"postal_code": "21811",
"telephone_number": "443-513-1751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL GRACE & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "MASON",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER, OPERATOR, PRACITIONER",
"authorized_official_telephone_number": "443-513-1751",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CRNP, FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.