Active NPI
Jemma Coster
- Psychiatric/Mental Health Nurse Practitioner
- Laguna Beach, CA
National Provider Identifier
1447809629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95013845
- Practice address
- 31872 Coast Hwy
Laguna Beach, CA 92651-6773 - Phone
- (949) 499-7501
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95013845 | CA | Primary |
Addresses
Primary practice location
31872 Coast Hwy
Laguna Beach, CA 92651-6773
Mailing address
31872 Coast Highway
Laguna Beach, CA 92651
Phone (949) 226-2608
Other practice location 1
615 W Civic Center Dr Ste 200
Santa Ana, CA 92701-4052
Phone (714) 795-3444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95013845 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Ana, CA
- NPI 1245627199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1447809629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31872 COAST HIGHWAY",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "92651",
"telephone_number": "949-226-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31872 COAST HWY",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926516773",
"telephone_number": "949-499-7501"
}
],
"practiceLocations": [
{
"address_1": "615 W Civic Center Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927014052",
"country_code": "US",
"telephone_number": "714-795-3444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSTER",
"first_name": "JEMMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95013845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.