Organization Active NPI

Coastal Hearing Care, Inc

  • Audiologist
  • Lakewood Ranch, FL
National Provider Identifier
1649817263
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
COASTAL HEARING CARE, INC
Practice address
5860 Ranch Lake Blvd Ste 110
Lakewood Ranch, FL 34202-3719
Phone
(941) 229-2122
Fax
(941) 757-3732
NPI assigned
Dec 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. Kristin C Desermia, AU.D.NPI 1538199807
Title
Owner
Phone
(941) 229-2122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary
Hearing and Speech Clinic/Center 261QH0700X
Hearing Aid Equipment 332S00000X

Addresses

Primary practice location

5860 Ranch Lake Blvd Ste 110
Lakewood Ranch, FL 34202-3719

Mailing address

5860 Ranch Lake Blvd Ste 110
Lakewood Ranch, FL 34202-3719
Phone (941) 229-2122

Other practice location 1

3651 Cortez Rd W Ste 300
Bradenton, FL 34210-3167
Phone (941) 229-2122

Other names 1

  • Ascent Audiology & Hearing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200116000576 FL Part B Supplier - Clinic/Group Practice 0749615938 Receives reassigned benefits from 3 practitioners
Practice locations: Lakewood Ranch, FL; Bradenton, FL

National Provider Directory

National Provider Directory

Locations

3651 Cortez Rd W
Bradenton, FL 34210

5860 Ranch Lake Blvd
Lakewood Ranch, FL 34202
Phone (941) 229-1055

5860 Ranch Lake Blvd
Ste 110
Lakewood Rch, FL 34202
Phone (941) 229-2122

5860 Ranch Lake Blvd
#H
Lakewood Rch, FL 34202
Phone (941) 229-2122

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1649817263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 RANCH LAKE BLVD STE 110",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342023719",
            "telephone_number": "941-229-2122",
            "fax_number": "941-757-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 RANCH LAKE BLVD STE 110",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342023719",
            "telephone_number": "941-229-2122",
            "fax_number": "941-757-3732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3651 Cortez Rd W Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342103167",
            "country_code": "US",
            "telephone_number": "941-229-2122",
            "fax_number": "941-757-3732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL HEARING CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2025-09-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "DESERMIA",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-229-2122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascent Audiology & Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.