Coast Surgical Specialty

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

Legal business name

COAST SURGICAL SPECIALTY

Practice address

296 Beauvoir Rd Ste 100-273
Biloxi, MS 39531-4051

Phone

(228) 342-1634

NPI assigned

Oct 4, 2018

Organization subpart

No

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

Authorized official

Name

Olivia CampbellNPI 1336620798

Title

Registered Nurse First Assistant

Phone

(228) 342-1634

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olivia Faith Campbell

  • Registered Nurse First Assistant
  • Gulfport, MS
  • NPI 1336620798
  NPD (past) Authorized official

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538870400000",
    "number": "1982179198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 BEAUVOIR RD STE 100-273",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314051",
            "telephone_number": "228-342-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 BEAUVOIR RD STE 100-273",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314051",
            "telephone_number": "228-342-1634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2617 Demaret Dr",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395072829",
            "country_code": "US",
            "telephone_number": "228-342-1634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COAST SURGICAL SPECIALTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-07",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "REGISTERED NURSE FIRST ASSISTANT",
        "authorized_official_telephone_number": "228-342-1634"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coast Cardiovascular Consultants
• Coast Dental, PLLC
• Coast Medical Supply, Inc.
• Coast Neurology and Wellness Clinic LLC
• Coast PCP, PLLC
• Coast Urgent Care
• Coastal ENT Surgery Center LLC
• Coastal Family Health Center
• Coastal Family Health Center, Inc
• Coastal Family Health Center, Inc

• Registered Nurse First Assistant in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Registered Nurse First Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2018; 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.