Organization Active NPI

Gautier Wellness LLC

Doing business as Coast Ultrasound

  • Physiological Laboratory
  • Gautier, MS
National Provider Identifier
1710715370
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
GAUTIER WELLNESS LLC
Doing business as
Coast Ultrasound
Practice address
4535B Gautier Vancleave Rd
Gautier, MS 39553-4810
Phone
(228) 641-9401
NPI assigned
Jul 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Alicia Gatz, ARDMS
Title
Owner
Phone
(816) 448-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

4535B Gautier Vancleave Rd
Gautier, MS 39553-4810

Mailing address

4535B Gautier Vancleave Rd
Gautier, MS 39553-4810
Phone (844) 641-6401

Other names 2

  • COAST ULTRASOUND Doing business as
  • GAUTIER WELLNESS LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1710715370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535B GAUTIER VANCLEAVE RD",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395534810",
            "telephone_number": "844-641-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535B GAUTIER VANCLEAVE RD",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395534810",
            "telephone_number": "228-641-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUTIER WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "GATZ",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-448-9515",
        "authorized_official_credential": "ARDMS"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COAST ULTRASOUND",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GAUTIER WELLNESS LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gautier, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.