Coastal Aprn Medical Solutions LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

COASTAL APRN MEDICAL SOLUTIONS LLC

Practice address

3628 Imperata Dr
Rockledge, FL 32955-6093

Phone

(321) 505-3999

Fax

(386) 492-2949

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Ashley Ann Kalin, APRN-BC

Title

Family Nurse Practitioner

Phone

(321) 505-3999

Specialties & licenses 1

Addresses

Other names 1

• Costal APRN Medical Solutions LLC Former legal business name

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1144791294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 IMPERATA DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556093",
            "telephone_number": "321-505-3999",
            "fax_number": "386-492-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 IMPERATA DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556093",
            "telephone_number": "321-505-3999",
            "fax_number": "386-492-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL APRN MEDICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "KALIN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "321-505-3999",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costal APRN Medical Solutions LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Tamarah Clements, APRN
• Jonathon Clemons
• Marilyn Amber Cleveland
• Coastal Behavioral Therapy, Inc
• Coastal Endocrinology LLC
• Coastal Health Systems of Brevard, Inc. (Coastal Ambulance Service)
• Coastal Mental Health Center Inc
• Cocoa Cardiology Consultant, LLC

• Family Nurse Practitioner in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.