Active NPI
Coastal Community Action, Inc.
- Community/Behavioral Health Agency
- Newport, NC
National Provider Identifier
1457553380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- COASTAL COMMUNITY ACTION, INC.
- Practice address
- 303 McQueen Blvd
Newport, NC 28570-8121 - Phone
- (252) 223-1630
- Fax
- (252) 223-1689
- NPI assigned
- Jun 4, 2007
- 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. Edith J Travers
- Title
- Executive Director
- Phone
- (252) 223-1630
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
303 McQueen Blvd
Newport, NC 28570-8121
Mailing address
303 McQueen Blvd
P.O. Box 729
Newport, NC 28570-8121
Phone (252) 223-1630
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300007 | Medicaid | NC | |
| 8300007K | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Coastal Community Action Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Newport, NC
- NPI 1568657534
Locations
303 McQueen Blvd
Newport, NC 28570
Phone (252) 223-1630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1457553380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 MCQUEEN BLVD",
"address_2": "P.O. BOX 729",
"city": "NEWPORT",
"state": "NC",
"postal_code": "285708121",
"telephone_number": "252-223-1630",
"fax_number": "252-223-1689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 MCQUEEN BLVD",
"city": "NEWPORT",
"state": "NC",
"postal_code": "285708121",
"telephone_number": "252-223-1630",
"fax_number": "252-223-1689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL COMMUNITY ACTION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-04",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "TRAVERS",
"authorized_official_first_name": "EDITH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "252-223-1630",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300007",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300007K",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.