Coastal Urgent Care, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

COASTAL URGENT CARE, LLC

Practice address

1124 S Burnside Ave
Suite A100
Gonzales, LA 70737-4249

Phone

(225) 644-5508

Fax

(225) 751-6686

NPI assigned

Feb 16, 2009

Last updated

Mar 19, 2024By 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

Erica Hauser

Title

Cfo

Phone

(312) 590-5372

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 140

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.

• Mark David Burns, FNP-C

  • Family Nurse Practitioner
  • Ruston, LA
  • NPI 1558034033
  Medicare reassignment Care Compare group NPD
• Lacey Callegan

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1215477260
  Medicare reassignment Care Compare group NPD
• Carolyn Cardin, FNP

  • Family Nurse Practitioner
  • Sicily Island, LA
  • NPI 1023797347
  Medicare reassignment Care Compare group NPD
• Leola M Carter, APRN, FNP-C

  • Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1609158047
  Medicare reassignment Care Compare group NPD
• Ronald Brandon Clark, FNP

  • Nurse Practitioner
  • Slidell, LA
  • NPI 1467723668
  Medicare reassignment Care Compare group NPD
• Rachelle Larai Conish, FNP

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1124668165
  Medicare reassignment Care Compare group NPD
• Aimee B Daigle, N.P.

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1659375376
  Medicare reassignment Care Compare group NPD
• Wade Joseph Estopinal, MD

  • Emergency Medicine Physician
  • Slidell, LA
  • NPI 1144338153
  Medicare reassignment Care Compare group NPD
• Codi Roussell Fields, FNP

  • Nurse Practitioner
  • Slidell, LA
  • NPI 1801658984
  Medicare reassignment Care Compare group NPD
• Colin Ross Hidalgo, APRN, FNP-C

  • Family Nurse Practitioner
  • Lake Charles, LA
  • NPI 1982065462
  Medicare reassignment Care Compare group NPD
• Jeanette Ellen Hotard, CFNP

  • Family Nurse Practitioner
  • Lutcher, LA
  • NPI 1821098450
  Medicare reassignment Care Compare group NPD
• Hollie Anne Knapp, MSN, FNP-C

  • Family Nurse Practitioner
  • Arcadia, LA
  • NPI 1710438668
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1568601425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JEFFERSON ST STE 600",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016987",
            "telephone_number": "337-202-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 S BURNSIDE AVE",
            "address_2": "SUITE A100",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374249",
            "telephone_number": "225-644-5508",
            "fax_number": "225-751-6686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9808 Bluebonnet Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708106442",
            "country_code": "US",
            "telephone_number": "225-224-8121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 S Service Rd W",
            "address_purpose": "LOCATION",
            "city": "Ruston",
            "state": "LA",
            "postal_code": "712702364",
            "country_code": "US",
            "telephone_number": "318-242-1440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8021 E Texas St",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711117016",
            "country_code": "US",
            "telephone_number": "318-532-5060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5314 Airline Dr",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711116711",
            "country_code": "US",
            "telephone_number": "318-678-5272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "971 Robert Blvd",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704582009",
            "country_code": "US",
            "telephone_number": "985-690-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2024-03-19",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-590-5372"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emile Clay III, PHARM.D.
• Dani Lyn Clement
• Kathryn B Clifton, PA-C
• Shayne Guy Clouatre, DDS
• Coastal Pathways LLC
• Jessica F Coffee, RD
• Destiny Jelia Coleman
• Michelle Coleman
• Robert Ken Coleman, D.C.
• Rosa Elena Coleman, RN

• Urgent Care Clinic/Center in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Urgent Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.