STEPHANIE LEE DOUGLAS (NPI# 1134786734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134786734 |
| Entity Type | Individual |
| Full Name | STEPHANIE LEE DOUGLAS |
| Credential | LPN |
| Practice Address |
4441 Diplomacy Dr Anchorage AK 99508-5910 |
| Practice Telephone | 9077298590 |
| Practice Fax Number | 9077298719 |
| Mailing Telephone | 9077298590 |
| Mailing Fax Number | 9077298719 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | NURP5796 | AK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205176088 | Stephanie Lynne Douglas | Counselor | 1307 N Meridian Ave, # 363, Oklahoma City, OK 73107-5132 | 2013-02-15 |
| 1184924649 | Stephanie Dayle Douglas | Counselor | 197 Sw Sarah Ct, Lake City, FL 32024-3852 | 2010-10-29 |
| 1679986277 | Stephanie Douglas | General Practice | 20 York St, New Haven, CT 06510-3220 | 2014-06-11 |
| 1932524998 | Stephanie Douglas | Developmental Therapist | 6 Southside Rd, Danvers, MA 01923-1409 | 2014-02-28 |
| 1225160948 | Stephanie Kay Douglas | Physical Therapist | 23 San Remo Dr, South Burlington, VT 05403-6343 | 2007-03-09 |
| Street Address |
4441 DIPLOMACY DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588862684 | Patricia Jane Clark Capo | Obstetrics & Gynecology | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2007-07-10 |
| 1861010100 | Emani Secret | Behavior Technician | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2020-07-13 |
| 1720603095 | Southcentral Foundation | Clinic/Center | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2020-06-12 |
| 1598399602 | Alex John Olson | Student in an Organized Health Care Education/Training Program | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2020-02-27 |
| 1124666730 | Southcentral Foundation | Clinic/Center | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2019-12-13 |
| 1962040634 | Southcentral Foundation | Psychologist | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2019-12-12 |
| 1659924108 | Southcentral Foundation | Community/Behavioral Health | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2019-07-23 |
| 1538721741 | Malcolm Henry Nichols | Behavior Technician | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2019-07-08 |
| 1124686076 | Southcentral Foundation | Behavioral Analyst | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2019-06-04 |
| 1750948170 | Allison Margaret Capps | Behavior Technician | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2019-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336706662 | Cynthia Malina Franco | Licensed Practical Nurse | 670 W Fireweed Ln Ste 106, Anchorage, AK 99503-2562 | 2019-05-22 |
| 1306364237 | Kenya Renay Hurd | Licensed Practical Nurse | 670 W Fireweed Ln Ste 120, Anchorage, AK 99503-2562 | 2017-08-30 |
| 1154857431 | Emily Nicole Henry | Licensed Practical Nurse | 5500 E 38th Ct Apt 2, Anchorage, AK 99504-4330 | 2017-05-05 |
| 1275068504 | Timothy Shawn Hicks-glover Jr. | Licensed Practical Nurse | 4003 Minnesota Dr Apt 19, Anchorage, AK 99503-6453 | 2017-04-24 |
| 1619408770 | Ashley Long | Licensed Practical Nurse | 3705 Arctic Blvd # 2237, Anchorage, AK 99503-5774 | 2017-03-21 |
| 1508307158 | Eileen Lloyd | Licensed Practical Nurse | 218 Skwentna Dr, Anchorage, AK 99504-4886 | 2017-03-15 |
| 1124566757 | Jennifer Rose Bullard | Licensed Practical Nurse | 8429 Heather Cir, Anchorage, AK 99502-3906 | 2017-02-02 |
| 1386187771 | Dorinda Charbonneau | Licensed Practical Nurse | 11041 Lake Otis Pkwy, Anchorage, AK 99516-1314 | 2016-12-02 |
| 1528510344 | Jessica Diane Crisp | Licensed Practical Nurse | 670 West Fireweed Lane, Suite 160, Anchorage, AK 99503 | 2016-10-27 |
| 1891144820 | Ryan Hartvigson | Licensed Practical Nurse | 1200 Columbine Ct Apt 72, Anchorage, AK 99508-2020 | 2016-06-09 |
| Find all providers in ANCHORAGE | ||||
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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.