Organization Active NPI

Crystal Coast Care for Women PC

  • Obstetrics & Gynecology Physician
  • Morehead City, NC
National Provider Identifier
1710158837
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CRYSTAL COAST CARE FOR WOMEN PC
Practice address
312 Commerce Ave
Suite a
Morehead City, NC 28557-2953
Phone
(252) 726-0282
Fax
(252) 726-2210
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Dr. Katrina Lynn Conrad
Title
Physicianowner
Phone
(252) 726-0282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

312 Commerce Ave
Suite a
Morehead City, NC 28557-2953

Mailing address

312 Commerce Ave
Suite a
Morehead City, NC 28557-2953

National Provider Directory

National Provider Directory

Locations

312 Commerce Ave
Ste A
Morehead City, NC 28557
Phone (252) 726-0282

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1710158837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 COMMERCE AVE",
            "address_2": "SUITE A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 COMMERCE AVE",
            "address_2": "SUITE A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572953",
            "telephone_number": "252-726-0282",
            "fax_number": "252-726-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL COAST CARE FOR WOMEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICIANOWNER",
        "authorized_official_telephone_number": "252-726-0282",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.