Active NPI
Ocean Medical LLC
- Gerontology Nurse Practitioner
- Lincoln City, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- OCEAN MEDICAL LLC
- Practice address
- 4488 NE Devils Lake Blvd
Lincoln City, OR 97367-5065 - Phone
- (541) 614-0407
- NPI assigned
- Jan 6, 2025
- Last updated
- Jan 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elisa D Garrett, AGPN
- Title
- Owner
- Phone
- (541) 614-0407
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NU | Primary |
Addresses
Primary practice location
4488 NE Devils Lake Blvd
Lincoln City, OR 97367-5065
Mailing address
4488 NE Devils Lake Blvd
Lincoln City, OR 97367-5065
Phone (541) 614-0407
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2314524 | Ocean Medical | Certificate of waiver | Nov 20, 2026 |
National Provider Directory
National Provider DirectoryLocations
4488 NE Devils Lake Blvd
Lincoln City, OR 97367
Phone (541) 614-0407
Practitioners & affiliated clinicians
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.
-
- Gerontology Nurse Practitioner
- Lincoln City, OR
- NPI 1811550866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1902615677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4488 NE DEVILS LAKE BLVD",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973675065",
"telephone_number": "541-614-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4488 NE DEVILS LAKE BLVD",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973675065",
"telephone_number": "541-614-0407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "GARRETT",
"authorized_official_first_name": "ELISA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-614-0407",
"authorized_official_credential": "AGPN"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln City, OR
- John M Nightingale, PA-C
- Phoebesue Nordyke
- North Lincoln Fire & Rescue District #1
- Northwest Medical Foundation of Tillamook (Adventist Health Bayshore Medical Lincoln City)
- Ocean Healing Acupuncture LLC
- Oceanlake Veterinary Clinic, PC
- Heather Bentley Offenstein, MD
- Lesley Jill Ogden, M.D.
- Erling Johannes Oksenholt, D.O.
- Robert L. Oksenholt, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.