Coastal Medical Suites

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

COASTAL MEDICAL SUITES

Practice address

802 Enterprise Blvd
Suite 812
Rockport, TX 78382

Phone

(208) 630-4087

NPI assigned

Nov 6, 2023

Organization subpart

No

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

Authorized official

Name

Chantell Williams, MSN, FNP-BCNPI 1720432230

Title

Chief Administrative Officer

Phone

(208) 630-4087

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Chantell Williams, FNP-BC

  • Family Nurse Practitioner
  • Cascade, ID
  • NPI 1720432230
  NPD Authorized official

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1992578413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783810699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 ENTERPRISE BLVD",
            "address_2": "SUITE 812",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "78382",
            "telephone_number": "208-630-4087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Enterprise Blvd",
            "address_2": "Suite 808",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "TX",
            "postal_code": "783827838",
            "country_code": "US",
            "telephone_number": "208-630-4087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL MEDICAL SUITES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHANTELL",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "208-630-4087",
        "authorized_official_credential": "MSN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Salce Carrillo, RPH, PHARMD
• Rebecca Lynn Carter
• Kristi L. Chapman, PHYSICAL THERAPIST
• Mahan Chimanji, M.D.
• Cindi L Maddalone Ma LPC
• Rebecca Coats, M.D.
• Code 3 Emergency Physicians, PA
• Codorniz Billing, LLC
• Irvin Corre, PMHNP
• Lincoln Wayne Davis, PTA

• Family Nurse Practitioner in Rockport, TX
• Providers in Rockport, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.