NATASHA LUCINDA DOUGLAS (NPI# 1063976975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063976975 |
| Entity Type | Individual |
| Full Name | NATASHA LUCINDA DOUGLAS |
| Credential | APRN |
| Practice Address |
3540 N Pine Island Rd Sunrise FL 33351-6637 |
| Mailing Address |
2628 Nw 69th Ave Margate FL 33063-2074 |
| Practice Telephone | 3058238510 |
| Mailing Telephone | 7543339383 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
APRN11000112 | FL | Hospitals |
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
11000112 | FL | Hospitals |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN11000112 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CREDENTIALING SPECIALIST | 1063976975 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2628 Nw 69th Ave, Margate, FL 330632074 | 7543339383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770107526 | Natasha Monic Douglas | Specialist | 1630 Scenic Hwy N, Snellville, GA 30078-5647 | 2020-06-07 |
| 1891816062 | Natasha Michelle Douglas | Counselor | 10552 Broken Branch Rd, Charlotte, NC 28213-5903 | 2007-04-03 |
| Street Address |
3540 N PINE ISLAND RD |
| City | SUNRISE |
| State | FL |
| Zip Code | 33351-6637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669467924 | Guillermo A Pasarin | Neurological Surgery | 3540 N Pine Island Rd, Sunrise, FL 33351-6637 | 2005-09-13 |
| 1902358211 | Helen Kindelan | Physician Assistant | 3540 N Pine Island Rd, Sunrise, FL 33351-6637 | 2016-11-03 |
| 1255735510 | Evelyn Coley | Physician Assistant | 3540 N Pine Island Rd, Sunrise, FL 33351-6637 | 2014-10-15 |
| 1790098788 | Jessica Fay Okun | Neurological Surgery | 3540 N Pine Island Rd, Sunrise, FL 33351-6637 | 2010-07-19 |
| 1326276593 | Bja Inc | Clinic/Center | 3540 N Pine Island Rd, Suite 101, Sunrise, FL 33351-6637 | 2009-06-26 |
| 1598916868 | Heidys Martinez | Physical Therapist | 3540 N Pine Island Rd, Sunrise, FL 33351-6637 | 2008-10-06 |
| 1548211204 | Mayur Maniar | Psychiatry & Neurology | 3540 N Pine Island Rd, Sunrise, FL 33351-6637 | 2006-05-15 |
| 1184698953 | Gerald S Goldberg | Psychiatry & Neurology | 3540 N Pine Island Rd, Sunrise, FL 33351-6637 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595945 | Nicole Walters | Nurse Practitioner | 4900 Nw 92nd Ave, Sunrise, FL 33351 | 2020-10-12 |
| 1811539141 | Springbirds Caregivers, Inc | Home Health | 8469 W Aokland Park Blvd, Sunrise, FL 33351 | 2019-10-08 |
| 1841842457 | Pacifica Sl Sunrise LLC | Assisted Living Facility | 4201 Springtree Drive, Sunrise, FL 33351 | 2019-07-13 |
| 1376019216 | Carla Sue Castiglione | Dietitian, Registered | 4800 Nob Hill Road, Sunrise, FL 33351 | 2018-10-18 |
| 1114493202 | Sunrise Family Smiles, Pa | Clinic/Center | 9440 West Commercial Blvd, Suite 105, Sunrise, FL 33351 | 2018-10-16 |
| 1134619505 | Brush Lauderhill, Pllc | Dentist | 7752 W. Commercial Blvd, Lauderhill, FL 33351 | 2018-05-11 |
| 1336658749 | Manuel Alexis Guilarte | Technician, Other | 10307 Nw 33rd Pl, Sunrise, FL 33351 | 2017-09-28 |
| 1801319009 | Latavia Cheri London | Technician, Other | 9429 Nw 42nd Street, 9429 Nw 42nd Street, Sunrise, FL 33351 | 2017-07-19 |
| 1225567662 | Maite Blanco | Counselor | 10994 Nw 40 Street, Sunrise, FL 33351 | 2017-06-08 |
| 1902335599 | Ella-shanie Benyakar | Speech-Language Pathologist | 9477 Nw 39th Pl, Sunrise, FL 33351 | 2017-06-07 |
| Find all providers in zip 33351 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508305111 | Jennifer Fritz Bouchillon | Nurse Practitioner | 657 Woodgate Ln, Sunrise, FL 33326-2194 | 2017-02-15 |
| 1386188407 | Gilda Moltimer | Nurse Practitioner | 6307 Nw 29th Ct, Sunrise, FL 33313 | 2016-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629902 | Tara-kaye Clunis | Nurse Practitioner | 832 Nw 130th Ave, Pembroke Pines, FL 33028-3135 | 2020-11-06 |
| 1184225112 | Dante Strong | Nurse Practitioner | 208 Afton Sq Unit 301, Altamonte Springs, FL 32714-3841 | 2020-11-05 |
| 1730780354 | Mary Catherine Grissom | Nurse Practitioner | 2093 Appalachee Cir, Tavares, FL 32778-2001 | 2020-11-02 |
| 1942800974 | Justo J Ruiz | Nurse Practitioner | 11740 Sw 26th Ter, Miami, FL 33175-2451 | 2020-10-28 |
| 1891395208 | Jordyn Lee Platt | Nurse Practitioner | 1820 Coyote Pl, Brandon, FL 33511-1741 | 2020-10-27 |
| 1669071668 | Karine Erica Cameron | Nurse Practitioner | 12028 Sw 12th St, Pembroke Pines, FL 33025-3740 | 2020-10-21 |
| 1306443916 | Simmy Regin Varghese | Nurse Practitioner | 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 | 2020-10-06 |
| 1891302469 | Shannon Bre Anna Watkins | Nurse Practitioner | 2937 Quantum Lakes Dr, Boynton Beach, FL 33426-8303 | 2020-09-28 |
| 1114534856 | Cristina Sandu | Nurse Practitioner | 19327 Elston Way, Estero, FL 33928-6489 | 2020-09-27 |
| 1215543590 | Kam Lieng Lady | Nurse Practitioner | 12031 Nw 2nd Dr, Coral Springs, FL 33071-8012 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
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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.