Coastal Care Solutions LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

COASTAL CARE SOLUTIONS LLC

Practice address

204 Stafford Rd
Stevensville, MD 21666-2768

Phone

(410) 490-6419

NPI assigned

Jun 20, 2023

Last updated

Aug 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bethany Lynn Berger, CRNPNPI 1730440165

Title

Nurse Practitioner

Phone

(410) 490-6419

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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.

• Bethany Lynn Berger, CRNP

  • Family Nurse Practitioner
  • Queenstown, MD
  • NPI 1730440165
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1821773433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 STAFFORD RD",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662768",
            "telephone_number": "410-490-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 STAFFORD RD",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662768",
            "telephone_number": "410-490-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "410-490-6419",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashley M Chookazian, LCSW-C
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• Michelle Conner, BCABA
• Daniel Hexter MD PA (Annapolis Neurology Associates)
• Kirsten Travers Davin-Boone, LCSW-C
• Wendi Lynn Davis, LMT
• Christina Deleon, PA-C

• Family Nurse Practitioner in Stevensville, MD
• Providers in Stevensville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.