Coastal Integrative Medicine

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

Last updated

Jun 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Rankin, MDNPI 1720012438

Title

MD/Ownder

Phone

(772) 344-1409

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Lisa Melaine Rankin, MD

  • Family Medicine Physician
  • Port St Lucie, FL
  • NPI 1720012438
  Authorized official Same address or phone

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": []
}

• Coastal Care Corporation (Cleveland Clinic Imaging)
• 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 (Anesthesia of the Treasure Coast)
• Coastal Pain Solutions, Inc. (Anesthesia of the Treasure Coast)

• Primary Care Clinic/Center in Stuart, FL
• Providers in Stuart, FL by specialty
• Primary Care Clinic/Center in Florida

• 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.