NPIMap

Organization Active NPI

Coast Cardiovascular Consultants

  • Acute Care Clinical Nurse Specialist
  • Gulfport, MS
National Provider Identifier
1346656543
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
R875526 Issued in MS
Legal business name
COAST CARDIOVASCULAR CONSULTANTS
Practice address
1391 Broad Ave
Gulfport, MS 39501-2419
Phone
(228) 863-8868
Fax
(228) 863-8956
NPI assigned
Jul 8, 2014
Last updated
Jul 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Donna Hailey
Title
Admin Manager
Phone
(228) 392-7429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X R875526 MS Primary

Addresses

Primary practice location

1391 Broad Ave
Gulfport, MS 39501-2419

Mailing address

1720A Medical Park Dr
Suite 340
Biloxi, MS 39532-2129
Phone (228) 392-7429

National Provider Directory

National Provider Directory

Locations

1720A Medical Park Dr
Ste 340
Biloxi, MS 39532
Phone (228) 392-7429

1391 Broad Ave
Gulfport, MS 39501
Phone (228) 863-8868

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1346656543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720A MEDICAL PARK DR",
            "address_2": "SUITE 340",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322129",
            "telephone_number": "228-392-7429",
            "fax_number": "228-396-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 BROAD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012419",
            "telephone_number": "228-863-8868",
            "fax_number": "228-863-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST CARDIOVASCULAR CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "HAILEY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ADMIN MANAGER",
        "authorized_official_telephone_number": "228-392-7429"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "MS",
            "license": "R875526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.