Coastal Practice Management LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COASTAL PRACTICE MANAGEMENT LLC

Practice address

4949 E State Road 64
#142
Bradenton, FL 34208-5530

Phone

(941) 302-0215

Fax

(941) 896-6531

NPI assigned

Aug 16, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Langley

Title

Manager

Phone

(941) 302-0215

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1250380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250380800000",
    "number": "1992937528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 E STATE ROAD 64",
            "address_2": "#142",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085530",
            "telephone_number": "941-302-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 E STATE ROAD 64",
            "address_2": "#142",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085530",
            "telephone_number": "941-302-0215",
            "fax_number": "941-896-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PRACTICE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-16",
        "last_updated": "2009-08-16",
        "status": "A",
        "authorized_official_last_name": "LANGLEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-302-0215",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coastal Senior Healthcare Inc
• Claire Gene Coats, PA-C
• Nathan Jay Coblentz
• Kristie Virginia Cochran, LMHC
• Chris Thomas Cockrell, D.P.T.

• All providers in Bradenton, FL
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2009; 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.