Organization Active NPI

Coastline Virtual Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Kingston, MA
National Provider Identifier
1275492811
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
COASTLINE VIRTUAL URGENT CARE, PLLC
Practice address
431 Country Club Way Ste 6
Kingston, MA 02364-4116
Phone
(508) 591-0920
NPI assigned
Jan 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Thuymi St Peter, FNP-BCNPI 1972120079
Title
Nurse Practitioner
Phone
(714) 206-4020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

431 Country Club Way Ste 6
Kingston, MA 02364-4116

Mailing address

431 Country Club Way Ste 6
Kingston, MA 02364-4116
Phone (508) 591-0920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260507003908 MA Part B Supplier - Clinic/Group Practice 8224506233 Receives reassigned benefits from 1 practitioner
Practice locations: Kingston, MA

National Provider Directory

National Provider Directory

Locations

431 Country Club Way
Ste 6
Kingston, MA 02364
Phone (508) 591-0920

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1275492811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 COUNTRY CLUB WAY STE 6",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023644116",
            "telephone_number": "508-591-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 COUNTRY CLUB WAY STE 6",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023644116",
            "telephone_number": "508-591-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE VIRTUAL URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "ST PETER",
        "authorized_official_first_name": "THUYMI",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "714-206-4020",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.