NPIMap

Organization Active NPI

Coastal Nephrology & Hypertension PC

  • Specialist
  • Portsmouth, NH
National Provider Identifier
1780798363
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COASTAL NEPHROLOGY & HYPERTENSION PC
Practice address
330 Borthwick Ave
Suite 100
Portsmouth, NH 03801-4174
Phone
(603) 436-3433
Fax
(603) 427-5115
NPI assigned
Aug 19, 2006
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Kulli M Barrett, MDNPI 1437140209
Title
Shareholder
Phone
(603) 436-3433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

330 Borthwick Ave
Suite 100
Portsmouth, NH 03801-4174

Mailing address

330 Borthwick Ave
Suite 100
Portsmouth, NH 03801-4174
Phone (603) 436-3433

Other identifiers 4

IdentifierTypeStateIssuer
0005006167OtherNHAETNA
CM85OtherNHHARVARD PILGRIM
143430000MedicaidME
30211568MedicaidNH

National Provider Directory

National Provider Directory

Locations

3 Hospital Dr
Ste B
York, ME 03909
Phone (207) 351-3565

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1780798363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE",
            "address_2": "SUITE 100",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014174",
            "telephone_number": "603-436-3433",
            "fax_number": "603-427-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE",
            "address_2": "SUITE 100",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014174",
            "telephone_number": "603-436-3433",
            "fax_number": "603-427-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL NEPHROLOGY & HYPERTENSION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "KULLI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "603-436-3433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005006167",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "CM85",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143430000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30211568",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.