Active NPI
Coastline Virtual Urgent Care, PLLC
- Urgent Care Clinic/Center
- Kingston, MA
National Provider Identifier
1275492811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thuymi St Peter, FNP-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260507003908 | MA | Part B Supplier - Clinic/Group Practice | 8224506233 |
Receives reassigned benefits from 1 practitioner Practice locations: Kingston, MA |
National Provider Directory
National Provider DirectoryLocations
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.