Coastal Health Specialists

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME47652 Issued in FL

Legal business name

COASTAL HEALTH SPECIALISTS

Practice address

2210 Front St
Suite 104B
Melbourne, FL 32901-7360

Phone

(863) 647-5700

Fax

(863) 647-5711

NPI assigned

Mar 21, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Terri Schneider, AU.D.

Title

Owner

Phone

(863) 647-5700

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1588906176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 FRONT ST",
            "address_2": "SUITE 104B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017360",
            "telephone_number": "863-647-5700",
            "fax_number": "863-647-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 FRONT ST",
            "address_2": "SUITE 104B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017360",
            "telephone_number": "863-647-5700",
            "fax_number": "863-647-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HEALTH SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-647-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME47652",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0054874",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terence Clowney, LCSW
• Jessica Clum
• Christina Clutter
• Coast Florida P.a.
• Coast Florida PA
• Coastal Home Health LLC Dba in Home Personal Services
• Coastal Psychiatric Center, Inc.
• Coastal Psychiatric Walk-in Corp
• Coastal Wellness and Life Coaching Center LLC
• Coastline Family Chiropractic Melbourne LLC

• Specialist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.