KATHERINE SYDNEY DOUGLAS (NPI# 1255961405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255961405 |
| Entity Type | Individual |
| Full Name | KATHERINE SYDNEY DOUGLAS |
| Credential | FNP-C |
| Practice Address |
3521 Ne Ralph Powell Rd Lees Summit MO 64064-2337 |
| Practice Telephone | 8165334398 |
| Mailing Telephone | 8165334398 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2020001586 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1295217594 | Katherine Margaret Douglas | Occupational Therapist | 1 Odell Plz, Yonkers, NY 10701-1402 | 2018-09-04 |
| 1235414897 | Katherine Douglas | Pharmacist | 801 16th St, Denver, CO 80202-3205 | 2011-10-14 |
| Street Address |
3521 NE RALPH POWELL RD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64064-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689666059 | Bruce E Fearon | Family Medicine | 3521 Ne Ralph Powell Rd, Suite C, Lees Summit, MO 64064-2360 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 1073014676 | Sonya Renee Aversman | Dietitian, Registered | 3680 Ne Akin Dr, Suite 134, Lee's Summit, MO 64064 | 2018-02-28 |
| 1407398365 | Lakewood Chiropractic, P.C. | Chiropractor | 731 Ne Lakewood Boulevard, Lee's Summit, MO 64064 | 2016-11-09 |
| 1417403015 | Mikaela Groff | Dietitian, Registered | 401 Ne Grant Ct, Lee's Summit, MO 64064 | 2016-09-01 |
| 1952756405 | Sarah C. Vignery | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd. Suite E, Lee's Summit, MO 64064 | 2016-05-03 |
| 1790146058 | Aneliya H Hristova | Physician Assistant | 3601 Ne Ralph Powell Road., Lee's Summit, MO 64064 | 2016-03-15 |
| 1821469982 | Alysse Barrett Doane | Nurse Practitioner | 2714 Ne Mcbaine Drive, Lees Summit, MO 64064 | 2015-10-15 |
| 1346638814 | Donna Thomas Dds, PC | Dentist | 3359 Ne Ralph Powell Rd, Lee's Summit, MO 64064 | 2015-01-06 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| Find all providers in zip 64064 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1659979169 | Samantha Rose Morris | Nurse Practitioner | 1980 Se Blue Pkwy Ste 2320, Lees Summit, MO 64063-1102 | 2020-10-16 |
| 1578173712 | Valerie De Jong | Nurse Practitioner | 1611 Se Boone Trl, Lees Summit, MO 64063-6023 | 2020-08-03 |
| 1255958369 | Amara Sluder | Nurse Practitioner | 1029 Ne Bluff Cir, Lees Summit, MO 64086-4955 | 2020-07-06 |
| 1457971905 | Rujira Renick | Nurse Practitioner | 100 Ne Missouri Rd Ste 202, Lees Summit, MO 64086-4716 | 2020-04-24 |
| 1417501255 | Nicole Hamilton | Nurse Practitioner | 303 Nw Central St, Lees Summit, MO 64063-1920 | 2019-07-30 |
| 1932683836 | Rene Russell | Nurse Practitioner | 2416 Sw Wintergreen Ct, Lees Summit, MO 64081 | 2018-09-18 |
| 1104327576 | Molly Moore Mcgraw Davidson | Nurse Practitioner | 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 | 2018-02-21 |
| 1225537665 | Crystal Sheets | Nurse Practitioner | 1221 Se 12th St, Lees Summit, MO 64081-2905 | 2018-02-12 |
| 1295257277 | Sara Barnett | Nurse Practitioner | 100 Ne Saint Lukes Blvd Ste 500, Lees Summit, MO 64086-6000 | 2017-07-12 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64064 |
Please comment or provide details below to improve the information on KATHERINE SYDNEY DOUGLAS.
| 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.