Coastline Family Medicine LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

COASTLINE FAMILY MEDICINE LLC

Practice address

6258 Woodhaven Village Dr
Port Orange, FL 32128-6850

Phone

(386) 689-4090

NPI assigned

Feb 24, 2023

Last updated

Mar 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathrine Rigney, APRNNPI 1497385991

Title

Owner

Phone

(386) 689-4090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathrine N Rigney, FNP

  • Nurse Practitioner
  • Deland, FL
  • NPI 1497385991
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1316646748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6258 WOODHAVEN VILLAGE DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286850",
            "telephone_number": "386-689-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6258 WOODHAVEN VILLAGE DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286850",
            "telephone_number": "386-689-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "RIGNEY",
        "authorized_official_first_name": "KATHRINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-689-4090",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Port Orange, FL
• Providers in Port Orange, 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 Mar 20, 2023; 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.