Active NPI
Coastal Premier Medical Care LLC
- Physician Assistant
- Marco Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- COASTAL PREMIER MEDICAL CARE LLC
- Practice address
- 1762 Hummingbird CT
Marco Island, FL 34145-4108 - Phone
- (239) 316-3323
- NPI assigned
- May 3, 2021
- Last updated
- Nov 6, 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
- Laura L Jones
- Title
- Owner
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1762 Hummingbird CT
Marco Island, FL 34145-4108
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
National Provider Directory
National Provider DirectoryLocations
541 Park St
Dunedin, FL 34698
Phone (727) 418-2567
8351 College Pkwy
Fort Myers, FL 33919
Phone (239) 201-2252
340 Tamiami Trl N
Naples, FL 34102
7901 Radio Rd
Naples, FL 34104
Phone (239) 259-0700
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Nurse Practitioner
- Naples, FL
- NPI 1902113202
-
- Nurse Practitioner
- Naples, FL
- NPI 1629617105
-
- Family Nurse Practitioner
- Naples, FL
- NPI 1396707527
-
- Physician Assistant
- Naples, FL
- NPI 1245267657
-
- Family Nurse Practitioner
- Naples, FL
- NPI 1902474315
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Naples, FL
- NPI 1326286568
-
- Family Nurse Practitioner
- St Petersburg, FL
- NPI 1619368503
-
- Nurse Practitioner
- Fort Myers, FL
- NPI 1003970336
-
- Family Medicine Physician
- Naples, FL
- NPI 1023078532
-
- Family Nurse Practitioner
- Fort Myers, FL
- NPI 1740601608
-
- Dermatology Physician
- Delray Beach, FL
- NPI 1306896105
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": "1793923200000",
"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": "1762 HUMMINGBIRD CT",
"city": "MARCO ISLAND",
"state": "FL",
"postal_code": "341454108",
"telephone_number": "239-316-3323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL PREMIER MEDICAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-03",
"last_updated": "2026-11-06",
"certification_date": "2026-11-06",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-738-2161"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"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 Marco Island, FL
- Yadira Cholula-Perez
- Athena Olivia-Hawkins Clardy
- Aniyah Clark
- Diamond Joycee Clayton
- Jennifer Salutan Clipston
- Edwin Cohen
- Michael Randy Cohen, D.O.
- Collier Boulevard Hma Physician Management LLC (Physicians Regional Medical Group-Collier)
- Collier Health Services Inc (Marco Island Pediatrics)
- Collier Health Services Inc (Marco Island Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.