JULIE DOUGLASS (NPI# 1043633878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043633878 |
| Entity Type | Individual |
| Full Name | JULIE DOUGLASS |
| Practice Address |
40 Arch St Johnson City NY 13790-2102 |
| Mailing Address |
346 Grand Ave Johnson City NY 13790-2580 |
| Practice Telephone | 6077636092 |
| Practice Fax Number | 6077636677 |
| Mailing Telephone | 6077298156 |
| Mailing Fax Number | 6077293982 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 007751 | NY | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922119254 | Julie V. Douglass | Pediatrics | 20911 Earl St Ste 100, Torrance, CA 90503-4354 | 2006-08-31 |
| Street Address |
40 ARCH ST |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568150 | Lorne R Campbell Sr. | Family Medicine | 40 Arch St, Johnson City, NY 13790-2102 | 2005-06-20 |
| 1124405600 | Lauren Zagieboylo | Student in an Organized Health Care Education/Training Program | 40 Arch St, Johnson City, NY 13790-2102 | 2015-05-04 |
| 1699194159 | Aditya Mehta | Family Medicine | 40 Arch St, Johnson City, NY 13790-2102 | 2014-04-14 |
| 1649699117 | Shownak Shreyarthi | Family Medicine | 40 Arch St, Johnson City, NY 13790-2102 | 2014-04-14 |
| 1295154730 | Mckirven Ceus | Family Medicine | 40 Arch St, Johnson City, NY 13790-2102 | 2014-04-14 |
| 1972920981 | Judith Lathrop Samsel | Registered Nurse | 40 Arch St, Johnson City, NY 13790-2102 | 2014-03-27 |
| 1619303104 | Jon-erik Wagner | Student in an Organized Health Care Education/Training Program | 40 Arch St, Johnson City, NY 13790-2102 | 2013-09-17 |
| 1821433095 | Saqib Iqbal | Student in an Organized Health Care Education/Training Program | 40 Arch St, Johnson City, NY 13790-2102 | 2013-05-01 |
| 1194085803 | Tyson Don Brierley | Family Medicine | 40 Arch St, Johnson City, NY 13790-2102 | 2012-05-29 |
| 1952661662 | Joumanah Abuaram | Family Medicine | 40 Arch St, Johnson City, NY 13790-2102 | 2012-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585892 | Danielle Dahlin | Dietitian, Registered | 2700 S Roan St Ste 212, Johnson City, TN 37601-7557 | 2020-07-13 |
| 1396219341 | Heal U, LLC | Dietitian, Registered | 2866 Carroll Creek Rd, Johnson City, TN 37615-4541 | 2019-01-13 |
| 1073004107 | Lindsay Howell | Dietitian, Registered | 1747 Skyline Dr Apt 12, Johnson City, TN 37604-3691 | 2018-05-24 |
| 1548618507 | Tia Filhiol | Dietitian, Registered | 115 Beechnut St Apt F8, Johnson City, TN 37601-1537 | 2016-06-01 |
| 1467748681 | Sherry D Kyker | Dietitian, Registered | 4 Dakota Pl, Johnson City, TN 37601-9074 | 2011-06-27 |
| 1467595009 | Sally Eggleston Dillon | Dietitian, Registered | 415 N. State of Franklin Road, Johnson City, TN 37604-6093 | 2007-02-14 |
| 1407995392 | Linda Bacon Walters | Dietitian, Registered | 4122 Bradford Ln, Johnson City, TN 37601-1065 | 2007-02-06 |
| 1528673225 | Mary L Trenda | Dietitian, Registered | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-09-10 |
| 1689228959 | Kirtan Slottje | Dietitian, Registered | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-07-25 |
| 1083178511 | Meredith Pellegrini | Dietitian, Registered | 2700 S Roan St Ste 410, Johnson City, TN 37601-7638 | 2019-01-29 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on JULIE DOUGLASS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.