Coastline Health & Wellness, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

COASTLINE HEALTH & WELLNESS, LLC

Practice address

4300B W Railroad St
Gulfport, MS 39501-2568

Phone

(228) 669-1427

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 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

Amanda Zeigler, RDNPI 1023794005

Title

Owner/Operator

Phone

(228) 669-1427

Specialties & licenses 1

Addresses

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.

• Amanda Zeigler, RD

  • Registered Dietitian
  • Perkinston, MS
  • NPI 1023794005
  Authorized official Same address or phone

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1861172835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "PERKINSTON",
            "state": "MS",
            "postal_code": "395730003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300B W RAILROAD ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012568",
            "telephone_number": "228-669-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "ZEIGLER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "228-669-1427",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Plains Home Health Agency 9a
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• Coastal Wound Specialists LLC
• Coastkids Pediatric Dentistry, PLLC
• Alexandria Cobb
• Code, LLC
• Cohen Podiatry Clinics
• Edward Robert Cohen, D.P.M.
• Todd Milton Cohen

• Registered Dietitian in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Registered Dietitian in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.