MRS. DIANNA FORREST DOUGLASS (NPI# 1043679079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043679079 |
| Entity Type | Individual |
| Full Name | MRS. DIANNA FORREST DOUGLASS |
| Credential | PMHNP |
| Practice Address |
152 Highway 7 S Oxford MS 38655-5392 |
| Mailing Address |
58 County Road 373 Water Valley MS 38965-3740 |
| Practice Telephone | 6622347521 |
| Practice Fax Number | 6622363071 |
| Mailing Telephone | 6622024705 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
901761 | MS | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
903689 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
152 HIGHWAY 7 S |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-5392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649374265 | Mary Sue Speck | Counselor | 152 Highway 7 S, Oxford, MS 38655-5392 | 2006-09-12 |
| 1396346565 | Macy Lillian Newcomb | Social Worker | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-11-04 |
| 1760082580 | Kimberly Eve Spence | Peer Specialist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-10-30 |
| 1932707999 | Tanya Evans | Registered Nurse | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-10-13 |
| 1578179545 | Tiffany Nail | Registered Nurse | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-09-16 |
| 1255947248 | Macarah Morris | Counselor | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-09-16 |
| 1073128641 | Adole Natasha Muruako | Counselor | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-09-10 |
| 1174137673 | Kristen Lindsey Cauley | Social Worker | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-09-02 |
| 1447863741 | Elizabeth Danielle Cornelius | Counselor | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-08-26 |
| 1316550759 | Angel Simmons | Counselor | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649746660 | In Focus Psychiatry LLC | Nurse Practitioner | 2716 W Oxford Loop Ste 180-4, Oxford, MS 38655-5721 | 2018-10-17 |
| 1225582588 | John Kirkpatrick | Nurse Practitioner | 1076 Highway 328, Oxford, MS 38655-8282 | 2016-08-04 |
| 1447602610 | Transcultural Care LLC | Nurse Practitioner | 317 Heritage Dr, Suite 2b, Oxford, MS 38655-5496 | 2016-07-12 |
| 1013395466 | Lifespan Collaborative Services LLC | Nurse Practitioner | 71 Oxford Rd, Oxford, CT 06478-1900 | 2015-05-18 |
| 1215537048 | Shaina Briann Flowers | Nurse Practitioner | 10840 N Us Highway 301, Oxford, FL 34484-3558 | 2020-10-30 |
| 1255988580 | Adriana Lyn Jenkins | Nurse Practitioner | 1203 Medical Park Dr, Oxford, MS 38655-5327 | 2019-08-21 |
| 1104310291 | Karla Rene Mcclain | Nurse Practitioner | 421 S Campus Ave, Oxford, OH 45056-2487 | 2018-06-21 |
| 1609390335 | Blair Nichole Grose | Nurse Practitioner | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2017-08-03 |
| 1821453648 | Olamide Alabi | Nurse Practitioner | 152 Highway 7 S, Oxford, MS 38655-5392 | 2015-12-21 |
| 1558788133 | Colleen Biafore | Nurse Practitioner | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2014-03-21 |
| Find all providers in OXFORD | ||||
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| 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.