Coastal Carolina CPR LLC.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COASTAL CAROLINA CPR LLC.

Doing business as

American Ambulance Service

Practice address

325 Sound Rd
Holly Ridge, NC 28445-7813

Phone

(910) 399-3744

NPI assigned

Nov 19, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Todd Tripp, ADVANCED EMT

Title

Director

Phone

(910) 399-3744

Specialties & licenses 1

Addresses

Other names 1

• American Ambulance Service Doing business as

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1598422909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15470",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284085470",
            "telephone_number": "910-399-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SOUND RD",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284457813",
            "telephone_number": "910-399-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA CPR LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-399-3744",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADVANCED EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hallie Rebecca Brooks
• Shanna Grace Caldwell
• Samantha Joyce Carter, MSW, LCSW-A
• Lachelle Chapman, DPT
• Caitlin Chaussee, LMBT
• Samantha J Cody
• Maria Coffman
• Courtney Maranda Cole, COTA/L
• Raven Collins
• Crystal Yvonne Conner, COTA/L

• Land Ambulance in Holly Ridge, NC
• Providers in Holly Ridge, NC by specialty
• Land Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.