Coastal Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COASTAL FAMILY MEDICINE LLC

Practice address

1807 N McKenzie St
Foley, AL 36535-2326

Phone

(251) 213-5824

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Manas Bodine, ARNPNPI 1780981159

Title

Nurse Practitioner

Phone

(251) 213-5824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21375/brand/1/csg/1/fhir/r4

Practitioners 4

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

• Nicole M Bodine, CRNP

  • Family Nurse Practitioner
  • Gulf Shores, AL
  • NPI 1780981159
  Medicare reassignment Care Compare group NPD Authorized official
• Lee Enrico Eslava, MD

  • Internal Medicine Physician
  • Gulf Shores, AL
  • NPI 1639125602
  Medicare reassignment Care Compare group NPD
• Kathleen Blair Parks, CRNP

  • Nurse Practitioner
  • Foley, AL
  • NPI 1457625097
  Medicare reassignment Care Compare group NPD
• Samentha Bilbo

  • Nurse Practitioner
  • Orange Beach, AL
  • NPI 1578260253
  Medicare reassignment NPD

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1750911574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352326",
            "telephone_number": "251-215-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352326",
            "telephone_number": "251-213-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "BODINE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MANAS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "251-213-5824",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coastal Chiropractic L.L.C.
• Coastal Hand Therapy
• Coastal Occupational Medicine and Pain Management, P.C.
• Coastal Physical Medicine Inc
• Coastal Spine and Pain
• Coastal Surgery, PC

• Family Medicine Physician in Foley, AL
• Providers in Foley, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.