Coastal in Home Medical, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

COASTAL IN HOME MEDICAL, LLC

Practice address

3885 Woodmere Park Blvd Apt 3
Venice, FL 34293-5270

Phone

(609) 647-0009

NPI assigned

Dec 2, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer L. Merlino, DR.

Title

Owner

Phone

(609) 647-0009

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1477263291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 WOODMERE PARK BLVD APT 3",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 WOODMERE PARK BLVD APT 3",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935270",
            "telephone_number": "609-647-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL IN HOME MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "MERLINO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-647-0009",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "coastalinhomemedical.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3885 Woodmere Park Blvd Apt 3",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342935270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Lorene Clyne, DO
• Courtney Coakes, PA-C
• Coast Dermatology and Skin Cancer Center PA
• Coastal Care Nursing Associates, Inc
• Coastal Family Medicine PL
• Coastal Insurance
• Coastal Peaks Psychiatry PLLC
• Latrice Coates
• Brandon Lucas Coffey, D.O.
• Dianne Cogburn, RD, LDN, MPH

• Family Nurse Practitioner in Venice, FL
• Providers in Venice, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.