Organization Active NPI

Coastal Premier Medical Care

  • Nurse Practitioner
  • Naples, FL
National Provider Identifier
1356924740
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
COASTAL PREMIER MEDICAL CARE
Practice address
15450 Tamiami TRL N
Naples, FL 34110-6217
Phone
(239) 778-0723
NPI assigned
May 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Laura L Jones, ARNPNPI 1902113202
Title
Family Nurse Practitioner
Phone
(614) 738-2161

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

15450 Tamiami TRL N
Naples, FL 34110-6217

Mailing address

340 Tamiami TRL N
PMB 162
Naples, FL 34102-5803
Phone (239) 316-3323

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210604002535 FL Part B Supplier - Clinic/Group Practice 0941609325 Receives reassigned benefits from 9 practitioners
Practice locations: Naples, FL; Pinellas Park, FL; Safety Harbor, FL; St Petersburg, FL; Largo, FL; Cape Coral, FL; Clearwater, FL; Dunedin, FL…

National Provider Directory

National Provider Directory

Locations

541 Park St
Dunedin, FL 34698
Phone (727) 474-5006

36 Barkley Cir
Fort Myers, FL 33907
Phone (239) 289-9332

6870 Alister Way
Fort Myers, FL 33912
Phone (239) 217-4186

340 Tamiami Trl N
Naples, FL 34102

1000 Arbor Lake Dr
Naples, FL 34110
Phone (239) 251-3086

6855 Davis Blvd
Naples, FL 34104
Phone (239) 354-8000

6125 Rattlesnake Hammock Rd
Naples, FL 34113
Phone (239) 417-8511

Practitioners & affiliated clinicians

Practitioners 9

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": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1356924740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 TAMIAMI TRL N",
            "address_2": "PMB 162",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025803",
            "telephone_number": "239-316-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15450 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341106217",
            "telephone_number": "239-778-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PREMIER MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "614-738-2161",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.