Coastal Family Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0728 Issued in NH

Legal business name

COASTAL FAMILY NUTRITION

Practice address

230 Lafayette Rd Ste 13
Portsmouth, NH 03801-5465

Phone

(603) 674-2479

Fax

(603) 590-7471

NPI assigned

Nov 20, 2017

Organization subpart

No

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

Authorized official

Name

Karen Mountjoy, RD

Title

Owner

Phone

(603) 674-2479

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Karen Mountjoy Pediatric Nutrition and Dietetics Former legal business name

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1639683162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LAFAYETTE RD STE 13",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015465",
            "telephone_number": "603-674-2479",
            "fax_number": "603-590-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 LAFAYETTE RD STE 13",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015465",
            "telephone_number": "603-674-2479",
            "fax_number": "603-590-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FAMILY NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "MOUNTJOY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-674-2479",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "0728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL REGISTRATION LD NUMBER",
            "identifier": "1078302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "0728",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karen Mountjoy Pediatric Nutrition and Dietetics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sabrina Leigh Clifton
• Julie Clough, OTR/L
• Wayne Gary Clough, D.C.
• Lily Coakley
• Coastal Dental Associates, PLLC
• Coastal General Surgical Associates, PC
• Coastal Nephrology & Hypertension PC
• Coastal New Hampshire Neurosurgeons
• Coastal Pediatrics
• Alexander Cobb

• Registered Dietitian in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Registered Dietitian in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.