Coastal Primary Care PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

COASTAL PRIMARY CARE PLLC

Practice address

436 Canal Dr SE
Ocean Shores, WA 98569-9718

Phone

(602) 361-7144

NPI assigned

Oct 30, 2018

Organization subpart

No

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

Authorized official

Name

Tiffany Mariah Rinke, MA

Title

Business Partner

Phone

(602) 361-7144

Specialties & licenses 2

Addresses

Practitioners 1

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

• Caitlin Robins

  • Family Nurse Practitioner
  • Fuquay Varina, NC
  • NPI 1982144085

  Family

  NPD (past)

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1780151589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1898",
            "city": "OCEAN SHORES",
            "state": "WA",
            "postal_code": "985691898",
            "telephone_number": "602-361-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 CANAL DR SE",
            "city": "OCEAN SHORES",
            "state": "WA",
            "postal_code": "985699718",
            "telephone_number": "602-361-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "RINKE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MARIAH",
        "authorized_official_title_or_position": "BUSINESS PARTNER",
        "authorized_official_telephone_number": "602-361-7144",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ascend Pediatric Therapy PLLC
• Daniel Carl Burns, M.S.P.T.
• Tara Lynn Castle, LMT
• City of Ocean Shores
• Coastal Family Medicine Inc. P.S.
• Leilani M Cox Polk, LMT
• Daniel Carl Burns MSPT Inc PS
• Emeritus Corporation
• Express Yourself, LLC
• Doreen Charlotte Gaffney, LMHC

• All providers in Ocean Shores, WA
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.