Coastal Carolina Respiratory Services

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

A407 Issued in NC

Legal business name

COASTAL CAROLINA RESPIRATORY SERVICES

Practice address

106 S. Brown Road
Beulaville, NC 28518-0467

Phone

(919) 920-8916

NPI assigned

Jan 19, 2007

Last updated

Aug 22, 2020By 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

Ms. Lisa Kelly Pickett, RRT, RCP, AE-CNPI 1467650051

Title

President Owner

Phone

(919) 920-8916

Specialties & licenses 1

Addresses

Tax ID family

Coastal Carolina Respiratory Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Carolina Respiratory Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Beulaville, NC
  • NPI 1992858237
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa K. Pickett, RRT, RCP, AE-C

  • Registered Respiratory Therapist
  • Beulaville, NC
  • NPI 1467650051

  Respiratory Therapist, Registered

  NPD Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093868309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S. BROWN ROAD",
            "address_2": "PO BOX 467",
            "city": "BEULAVILLE",
            "state": "NC",
            "postal_code": "285180467",
            "telephone_number": "919-920-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S. BROWN ROAD",
            "city": "BEULAVILLE",
            "state": "NC",
            "postal_code": "285180467",
            "telephone_number": "919-920-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA RESPIRATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "919-920-8916",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RRT, RCP, AE-C"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NC",
            "license": "A407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Robert Carawan, AGNP-C
• Rebecca Suzanne Carpenter, PHARMD
• Abigail Judith Carter, OT
• Caitlin Casey, FNP-C
• Kristie J. Cavanaugh, MA
• Coastal Carolina Respiratory Services, Inc
• Craig a. Marva, DMD, PLLC (Duplin Family Dentistry)
• Christopher Thad Dixon, RPH
• Bridget Renee Eason
• Edwards and Associates Physical Therapy

• Registered Respiratory Therapist in Beulaville, NC
• Providers in Beulaville, NC by specialty
• Registered Respiratory Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.