MS. JENNIFER DOUGLAS (NPI# 1235476706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235476706 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER DOUGLAS |
| Other Name | MS. JENNIFER DOUGLAS |
| Credential | RN00123804 |
| Practice Address |
1520 Kelly Pl Ste 220 Walla Walla WA 99362-8607 |
| Mailing Address |
Po Box 1595 1520 Kelly Place, Suite 220 Walla Walla WA 99362-0329 |
| Practice Telephone | 5095202924 |
| Mailing Telephone | 5095202924 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2014-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WA2000X |
Registered Nurse Specialization: Administrator |
RN00123804 | WA | Nursing Service Providers |
| N | 163WS0200X |
Registered Nurse Specialization: School |
RN00123804 | WA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60427024 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689157570 | Jennifer Joy Douglas | Home Health | 935 Pyramid Hill Blvd Apt 3b, Hamilton, OH 45013-6420 | 2018-09-07 |
| 1992050470 | Jennifer Lynn Douglas | Social Worker | 2501 Hunter Pl Ste 201, Woodbridge, VA 22192-3940 | 2012-07-19 |
| 1710032388 | Jennifer Douglas | Speech-Language Pathologist | 7009 Stonehenge Rd, Odessa, TX 79765 | 2007-01-24 |
| 1861479792 | Jennifer A Douglas | Family Medicine | 6521 Route 22, Delmont, PA 15626-2402 | 2005-12-30 |
| 1659904522 | Jennifer R Douglas | Counselor | 537 W 18th St, Erie, PA 16502-1722 | 2020-02-19 |
| 1114559036 | Jennifer G Douglas | Nurse Practitioner | 6730 Roosevelt Ave Ste 201, Middletown, OH 45005-5730 | 2020-02-08 |
| 1063996452 | Jennifer L Douglas | Behavior Technician | 90 Hawes Way, Stoughton, MA 02072-1163 | 2018-09-20 |
| 1790264976 | Jennifer L Douglas | Case Manager/Care Coordinator | 19 Robinson Rd, Clinton, NY 13323-1418 | 2018-08-09 |
| 1437668894 | Jennifer Douglas | Behavior Technician | 9150 Bereford Dr, Baton Rouge, LA 70809-2403 | 2017-09-28 |
| 1386167500 | Jennifer Douglas | Psychologist | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2017-07-19 |
| Street Address |
1520 KELLY PL STE 220 |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-8607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| 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 |
|---|---|---|---|---|
| 1598282634 | Teddi Rose Armstrong | Nurse Practitioner | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2017-08-29 |
| 1669780789 | Anne Michele Mason | Nurse Practitioner | 107 Green St, Walla Walla, WA 99362-2631 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720139 | Youwen Hu | Nurse Practitioner | 10824 Se 170th St Unit A304, Renton, WA 98055-5950 | 2020-11-05 |
| 1831799048 | Sarah Louise Weerheim | Nurse Practitioner | 2727 Hollycroft St Ste 110v, Gig Harbor, WA 98335-1371 | 2020-10-27 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1437761988 | Hollye Hahn | Nurse Practitioner | 1012 Nw Longview Dr, Oak Harbor, WA 98277-8947 | 2020-08-17 |
| 1386254290 | Candie M. Wellwood | Nurse Practitioner | 9908 S Sherman Rd, Spokane, WA 99224-9811 | 2020-08-05 |
| 1104434679 | Progressive Psychiatric Consultant | Nurse Practitioner | 170 S Lincoln St # 150, Spokane, WA 99201-4443 | 2020-07-21 |
| 1235747213 | Peaceful Coexistence, LLC | Nurse Practitioner | 4730 University Way Ne Ste 104, Seattle, WA 98105-4424 | 2020-07-16 |
| 1134747066 | New Dawn Psychotherapy Pllc | Nurse Practitioner | 2223 Benson Rd S Apt D102, Renton, WA 98055-8837 | 2020-07-07 |
| 1376160861 | Clarity Behavioral Health | Nurse Practitioner | 7704 193rd Pl Sw, Edmonds, WA 98026-6234 | 2020-06-30 |
| 1174140677 | Rachael Davison | Nurse Practitioner | 22525 Se 64th Pl Ste 228, Issaquah, WA 98027-5383 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
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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.