Coastal Bend House Calls

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

COASTAL BEND HOUSE CALLS

Practice address

4444 Corona Dr Ste 130
Corpus Christi, TX 78411-4322

Phone

(361) 992-4500

Fax

(361) 992-4502

NPI assigned

Sep 29, 2020

Organization subpart

No

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

Authorized official

Name

Jarrod Oldham, FNP-C

Title

Owner

Phone

(361) 985-1221

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1104433531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR STE 130",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114322",
            "telephone_number": "361-992-4500",
            "fax_number": "361-992-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR STE 130",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114322",
            "telephone_number": "361-992-4500",
            "fax_number": "361-992-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND HOUSE CALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "OLDHAM",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-985-1221",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.