Organization Active NPI

Emerald Coast Care System, LLC

  • Acute Care Nurse Practitioner
  • Gulf Breeze, FL
National Provider Identifier
1447524384
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ARNP9180138 Issued in FL
Legal business name
EMERALD COAST CARE SYSTEM, LLC
Practice address
1157 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4835
Phone
(850) 462-7969
Fax
(850) 462-7946
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
David R Lawson
Title
Ceo
Phone
(850) 462-7969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X ARNP9180138 FL Primary

Addresses

Primary practice location

1157 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4835

Mailing address

1157 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4835
Phone (850) 462-7969

Other names 1

  • Doc-N-A-Box Doing business as

National Provider Directory

National Provider Directory

Locations

1157 Gulf Breeze Pkwy
Gulf Breeze, FL 32561
Phone (850) 462-7969

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1447524384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614835",
            "telephone_number": "850-462-7969",
            "fax_number": "850-462-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614835",
            "telephone_number": "850-462-7969",
            "fax_number": "850-462-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST CARE SYSTEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-462-7969"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9180138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doc-N-A-Box",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.