Organization Active NPI

Coastal Integrative Medicine

  • Primary Care Clinic/Center
  • Stuart, FL
National Provider Identifier
1376923185
Registry record updated Jun 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Jun 6, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.