Coastal Assistant Group, LLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

631753 Issued in TX

Legal business name

COASTAL ASSISTANT GROUP, LLC

Practice address

4501 Cartwright Rd
Suite 606
Missouri City, TX 77459-3541

Phone

(281) 969-7137

Fax

(281) 969-8882

NPI assigned

Sep 17, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Amanda H Wood, RN,CSA,LSA

Title

President

Phone

(281) 969-7137

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry Emanuel Nichols, P.T.A.

  • Surgical Technologist
  • Missouri City, TX
  • NPI 1477807345
  NPD (past)
• Alan B Solomay, SA-C

  • Surgical Physician Assistant
  • Katy, TX
  • NPI 1982723532
  NPD (past)

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1255681391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19155",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774969155",
            "telephone_number": "281-969-7137",
            "fax_number": "281-969-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 CARTWRIGHT RD",
            "address_2": "SUITE 606",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593541",
            "telephone_number": "281-969-7137",
            "fax_number": "281-969-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ASSISTANT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-969-7137",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,CSA,LSA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "631753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseline Clements
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• CN Healthcare Services, Inc.
• CN Healthcare, Inc.
• Coastal ER Xiii, LLC
• Destinee Cochran, RBT
• Crichelle Cockrell
• Stephanie Johnston Cohen, D.C.
• Keshawna Cole, M.A., LPC

• Registered Nurse First Assistant in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.