COASTAL INTEGRATIVE MEDICINE – NPI #1124292867
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

COASTAL INTEGRATIVE MEDICINE is a provider located in PORT SAINT LUCIE, FL. NPPES has assigned the NPI number 1124292867 to COASTAL INTEGRATIVE MEDICINE on April 14, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COASTAL INTEGRATIVE MEDICINE” is a dba name, the actual legal business name for this organization is LISA RANKIN MD PA. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 14 years ago on Jan 24, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COASTAL INTEGRATIVE MEDICINE below.

NPI Profile for
LISA RANKIN MD PA

NPI Number
1124292867
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LISA RANKIN MD PA
Doing Business As (dba): COASTAL INTEGRATIVE MEDICINE
Primary location
499 NW PRIMA VISTA BLVD
SUITE 105
PORT SAINT LUCIE, FL 34983-8786
Phone: (772) 344-1409 Fax: (772) 344-9441
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LISA RANKIN
OWNER/AGENT
Phone: (772) 344-1409
Updated
Identifiers

Identifiers for COASTAL INTEGRATIVE MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL253926800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
FL ME0074325

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.