Active NPI
Coastal Integrative Medicine
- Primary Care Clinic/Center
- Stuart, FL
National Provider Identifier
1376923185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- COASTAL INTEGRATIVE MEDICINE
- Practice address
- 900 SE Ocean Blvd
Suite 246
Stuart, FL 34994-2471 - Phone
- (772) 344-1409
- NPI assigned
- Jun 6, 2015
- 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
- Mrs. Lisa Rankin, MD
- Title
- MD/Ownder
- Phone
- (772) 344-1409
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
900 SE Ocean Blvd
Suite 246
Stuart, FL 34994-2471
Mailing address
900 SE Ocean Blvd
Suite 246
Stuart, FL 34994-2471
Phone (772) 344-1409
National Provider Directory
National Provider DirectoryLocations
900 SE Ocean Blvd
Ste 246
Stuart, FL 34994
Phone (772) 344-1409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433548800000",
"number": "1376923185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 SE OCEAN BLVD",
"address_2": "SUITE 246",
"city": "STUART",
"state": "FL",
"postal_code": "349942471",
"telephone_number": "772-344-1409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SE OCEAN BLVD",
"address_2": "SUITE 246",
"city": "STUART",
"state": "FL",
"postal_code": "349942471",
"telephone_number": "772-344-1409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL INTEGRATIVE MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-06",
"last_updated": "2015-06-06",
"status": "A",
"authorized_official_last_name": "RANKIN",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "MD/OWNDER",
"authorized_official_telephone_number": "772-344-1409",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
- Coastal Care Corporation
- Coastal Concierge Services LLC
- Coastal Detox, Inc
- Coastal Eye Center PA
- Coastal Home Health Services, Inc.
- Coastal Medical & Wellness Center, PLLC
- Coastal Optical Center Inc
- Coastal Orthopaedics & Sports Medicine Center
- Coastal Pain Solutions, Inc
- Coastal Pain Solutions, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.