KERRY ELIZABETH DOUGLAS (NPI# 1205969938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205969938 |
| Entity Type | Individual |
| Full Name | KERRY ELIZABETH DOUGLAS |
| Credential | RN |
| Practice Address |
302 Dulles Dr Lafayette LA 70506-3008 |
| Mailing Address |
114 Briarmeadow Dr Lafayette LA 70508-7210 |
| Practice Telephone | 3372624161 |
| Mailing Telephone | 3378561264 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
LA | Nursing Service Providers |
| Street Address |
302 DULLES DR |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-3008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770557746 | Lafayette General Medical Center Inc | Psychiatric Unit | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2006-02-15 |
| 1306404199 | Leah Chitwood | Registered Nurse | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2019-06-05 |
| 1144783408 | John S Larson | Nurse Practitioner | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2019-04-12 |
| 1871086538 | April E Jacobs | Counselor | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2018-06-07 |
| 1174015689 | Michelle Montet Gary | Licensed Practical Nurse | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2018-05-31 |
| 1245778026 | Marci Pere | Counselor | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2017-02-01 |
| 1235686809 | Athena Simon West | Licensed Practical Nurse | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2016-09-01 |
| 1932553302 | Glenda Johnwell | Counselor | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2016-04-21 |
| 1528428661 | Jennifer Bell | Social Worker | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2016-03-02 |
| 1659744209 | Priscilla Butler | Licensed Practical Nurse | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2015-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
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|---|---|---|---|---|
| 1811005739 | Connie D Marion | Registered Nurse | 5967 Cherry Valley Road, Lafayette, NY 13084 | 2006-08-29 |
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| 1750948428 | Lauren Ciletti | Registered Nurse | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2019-05-28 |
| 1780177170 | Denitra R Constantine | Registered Nurse | 106 Heymann Blvd, Lafayette, LA 70503-2322 | 2018-06-11 |
| 1821393588 | Carolyn Sue Brooks | Registered Nurse | 610 Main St, Lafayette, IN 47901-1451 | 2011-01-11 |
| 1265763015 | Elizabeth C Vitale | Registered Nurse | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2010-01-19 |
| 1083747075 | Tracy Lewis | Registered Nurse | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2007-03-13 |
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| 1578046090 | Brealon Lirette LLC | Registered Nurse | 242 Woodwind Dr, Houma, LA 70360-3996 | 2018-09-11 |
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| 1083135057 | Joan Marie Ibos | Registered Nurse | 20153 Palm Blvd, Covington, LA 70435-6453 | 2017-06-29 |
| 1467996058 | Karen Bowie Johnson | Registered Nurse | 6425 Taylor Oaks, Alexandria, LA 71301 | 2016-12-15 |
| 1043672504 | Stephanie Shirey | Registered Nurse | 116 Haymarket Ct, Bossier City, LA 71111-8228 | 2016-03-24 |
| 1588989230 | Katherine Hicks Little | Registered Nurse | 246 Marie Rd, Church Point, LA 70525-7001 | 2010-04-06 |
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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.