Coastal Therapy Associates LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2801262 Issued in FL

Legal business name

COASTAL THERAPY ASSOCIATES LLC

Practice address

3050 W Highway 98 Unit B7
Port St Joe, FL 32456-4718

Phone

(850) 209-5935

NPI assigned

Jun 5, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Kathryn Mae Land, PMHNP-BC

Title

Partner

Phone

(850) 209-5935

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1790277689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 W HIGHWAY 98 UNIT B7",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324564718",
            "telephone_number": "850-209-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 W HIGHWAY 98 UNIT B7",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324564718",
            "telephone_number": "850-209-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "850-209-5935",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "2801262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cep America LLC
• Brent W Chapman, MD
• Steven Blayne Cherry, PHARMD
• Chirolife Wellness
• Coastal Foot and Ankle Clinic PA.
• Rebecca Lindsey Collingsworth, RN
• Mary N Coniglio, LCSW
• Cathy Supon Connor, LCSW
• Dolores Ann Conroy, ARNP
• Christian Laine Cox, APRN

• Psychiatric/Mental Health Nurse Practitioner in Port St Joe, FL
• Providers in Port St Joe, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.