COASTAL MEDICAL SUITES
NPI 1992578413
Nurse Practitioner - Family in Rockport, TX

Active since November 06, 2023
802 ENTERPRISE BLVD, SUITE 812, ROCKPORT, TX 78382(208) 630-4087 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Coastal Medical Suites NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL MEDICAL SUITES (NPI 1992578413) is a healthcare organization registered as a family in Rockport, Texas and active in the NPI registry since November 2023. The organization maintains a secondary practice location in Rockport and lists Chantell Williams, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1992578413
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOASTAL MEDICAL SUITES
Location Address802 ENTERPRISE BLVD, SUITE 812Rockport, TX 78382
Mailing AddressPo Box 699Rockport, TX 78381-0699
Organization SubpartNo
Authorized OfficialChantell WilliamsChief Administrative Officer · (208) 630-4087
Enumeration DateNovember 6, 2023
NPPES CertifiedNovember 4, 2023
NPI 1992578413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
802 ENTERPRISE BLVD, Rockport, TX 78382

Secondary Practice Location 1

Location 1802 Enterprise Blvd, Suite 808Rockport, TX 78382-7838 · Phone (208) 630-4087

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Medical Suites's NPI number?

The NPI number for Coastal Medical Suites is 1992578413. It was assigned to this organization in the NPPES registry on November 6, 2023.

Where is Coastal Medical Suites located?

Coastal Medical Suites is located at 802 Enterprise Blvd Suite 812, Rockport, TX 78382. The listed phone number is (208) 630-4087.

What is Coastal Medical Suites's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Coastal Medical Suites was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.