Organization Active NPI

Coastal Quality Care LLC

  • Developmental Disabilities Clinic/Center
  • Saint Petersburg, FL
National Provider Identifier
1295332468
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
COASTAL QUALITY CARE LLC
Practice address
6625 23Rd Cir N
Saint Petersburg, FL 33702-5609
Phone
(727) 967-6797
NPI assigned
Oct 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Tarica-Tory McCray, APRNNPI 1912451154
Title
Owner
Phone
(727) 967-6797

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
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

6625 23Rd Cir N
Saint Petersburg, FL 33702-5609

Mailing address

PO Box 16166
Saint Petersburg, FL 33733-6166
Phone (727) 967-6797

National Provider Directory

National Provider Directory

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": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1295332468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16166",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337336166",
            "telephone_number": "727-967-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 23RD CIR N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337025609",
            "telephone_number": "727-967-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL QUALITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "TARICA-TORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-967-6797",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.