Active NPI
Crystal Coast Care for Women PC
- Obstetrics & Gynecology Physician
- Morehead City, NC
National Provider Identifier
1710158837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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 DirectoryLocations
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.