JESSICA L DOUGLAS (NPI# 1215925516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215925516 |
Entity Type | Individual |
Full Name | JESSICA L DOUGLAS |
Credential | MS |
Practice Address |
55 Lake Ave N S1-710 Worcester MA 01655-0002 |
Mailing Address |
3 Pearl St Natick MA 01760-4813 |
Practice Telephone | 5083343517 |
Practice Fax Number | 5083343525 |
Mailing Telephone | 5086537866 |
Mailing Fax Number | 5083343525 |
Enumeration Date | 2005-10-11 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811376601 | Jessica Lynn Douglas | Registered Nurse | 305 E Duval St # 1, Lake City, FL 32055-4093 | 2015-05-26 |
1972914794 | Jessica Douglas | Specialist/Technologist | 390 Cynthia Cres, Redlands, CA 92373-6836 | 2014-05-14 |
1700933660 | Jessica Ford Douglas | Psychiatry & Neurology | 332 Sumner Hall Drive, Gallatin, TN 37066 | 2007-01-04 |
1336786540 | Jessica Douglas | Counselor | 112 Coliseum Blvd, Montgomery, AL 36109-2708 | 2019-12-06 |
1487137071 | Jessica Douglas | Case Manager/Care Coordinator | 300 Washington St Ste 401, Monroe, LA 71201-6714 | 2018-09-11 |
1194188722 | Jessica Lynn Douglas | Family Medicine | 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 | 2016-03-31 |
1578996310 | Jessica Siobhan Douglas | Physician Assistant | 2604 Grange Hall Road, Eglon, WV 26716-0008 | 2013-08-15 |
1043443385 | Jessica Cardillo Douglas | Nurse Practitioner | 186 Providence St, West Warwick, RI 02893-2508 | 2009-09-03 |
1205814076 | Jessica Lynn Douglas | Physical Therapist | 654 Beacon St, 2nd Floor, Boston, MA 02215-2099 | 2006-01-03 |
Street Address |
55 LAKE AVE N S1-710 |
City | WORCESTER |
State | MA |
Zip Code | 01655-0002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
1174122899 | Jessica Goncalves Ferreira | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-23 |
1235746686 | Desiree Mytych | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-29 |
1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
1639781487 | Gabriella Kathleen Holland | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-21 |
1730791898 | Kerry Anne Benedict | Speech-Language Pathologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
1144830712 | Abbey Corsini | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
Find all providers in zip 01655 |
Taxonomy Code | 170300000X |
Grouping | Other Service Providers |
Classification | Genetic Counselor, MS |
A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982038006 | Jilliane Elise Sotelo | Genetic Counselor, MS | 55 Lake Ave N # A3104, Worcester, MA 01655-0002 | 2013-08-26 |
1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
1538784418 | Eileen Selina Hoffman | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-06-16 |
1336622661 | Kaylin O'brien | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2018-09-12 |
1104306901 | Kimberly Mai Zayhowski | Genetic Counselor, MS | 55 Lake Avenue North, Department of Genetics; Benedict Building 3rd Floor, Worcester, MA 01655 | 2018-08-21 |
1053778753 | Maria Delvecchio | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655 | 2016-01-26 |
1376955542 | Amber Pryzbylski | Genetic Counselor, MS | 55 Lake Ave N, A3104 Pedigene, Worcester, MA 01655-0002 | 2014-05-22 |
1083051049 | Kendra L Flores | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2013-05-31 |
1740582121 | Elizabeth Ann Wiley | Genetic Counselor, MS | 55 Lake Ave N, Rm. S1-710, Worcester, MA 01655-0002 | 2010-11-17 |
1063605087 | Julia Abigail Wilkinson | Genetic Counselor, MS | 55 Lake Ave N, Umass Memorial Medical Center - Pediatrics/genetics, Worcester, MA 01655-0002 | 2007-08-22 |
Find all providers in WORCESTER |
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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.