Coast Anesthesia Associates, PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

COAST ANESTHESIA ASSOCIATES, PLLC

Doing business as

Destin Ketamine Solutions

Practice address

914 Mar Walt Dr Ste a
Fort Walton Beach, FL 32547-6706

Phone

(559) 906-1390

Fax

(850) 807-5162

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

Megan Kristine Barnett, MD

Title

Owner

Phone

(559) 906-1390

Specialties & licenses 1

Addresses

Other names 1

• Destin Ketamine Solutions Doing business as

Locations

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1891368783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 VISTA BLFS",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325414723",
            "telephone_number": "559-906-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 MAR WALT DR STE A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476706",
            "telephone_number": "559-906-1390",
            "fax_number": "850-807-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST ANESTHESIA ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-906-1390",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Destin Ketamine Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Clarkson
• George Clasbey, MSW
• Emily Claughsey
• William Andrew Claybaugh, PHARM.D.
• Carly Clifton, NP
• Coastal Diabetes, LLC
• Coastal Periodontics Practice (Coastal Periodontics)
• Coastal Radiology Associates PA
• Coastal Spa and Salon
• Coastal Vascular and Interventional PLLC

• Anesthesiology Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.