JESSICA DOUGLAS (NPI# 1336786540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336786540 |
| Entity Type | Individual |
| Full Name | JESSICA DOUGLAS |
| Practice Address |
112 Coliseum Blvd Montgomery AL 36109-2708 |
| Mailing Address |
Po Box 3223 Montgomery AL 36109-0223 |
| Practice Telephone | 3342797810 |
| Mailing Telephone | 3342797830 |
| Mailing Fax Number | 3342778862 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2745 | AL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5 Academy Ln, Hayneville, AL 360402617 | 3342797830 |
| 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 |
| 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 |
| 1215925516 | Jessica L Douglas | Genetic Counselor, MS | 55 Lake Ave N, S1-710, Worcester, MA 01655-0002 | 2005-10-11 |
| Street Address |
112 COLISEUM BLVD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36109-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942846944 | Colenthia Wright | Counselor | 112 Coliseum Blvd, Montgomery, AL 36109-2708 | 2019-11-25 |
| 1942848221 | Adrianne Renee' Garrett | Counselor | 112 Coliseum Blvd, Montgomery, AL 36109-2708 | 2019-12-17 |
| 1437795457 | Lauren Wilder | Counselor | 112 Coliseum Blvd, Montgomery, AL 36109-2708 | 2019-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854017 | Danney Lester Hendrix | Massage Therapist | 5485 Atlanta Hwy, Root Salon Building, Montgomery, AL 36109 | 2020-06-08 |
| 1164987590 | Erin Lee Burleson | Specialist/Technologist | 5000 Veterns Stadium Drive, Troy, AL 36109 | 2019-02-11 |
| 1750876793 | Wecare Therapy Services, LLC | Speech-Language Pathologist | 1286 Perry Hill Road, Montgomery, AL 36109 | 2018-06-22 |
| 1992299549 | Four Seasons Healthcare Group, Inc | Durable Medical Equipment & Medical Supplies | 500 Interstate Park Drive, Suite 534, Montgomery, AL 36109 | 2018-06-18 |
| 1720537335 | Cynthia Renne' Barrett | Nurse Practitioner | 1231 Perry Hill Road, Suite C, Montgomery, AL 36109 | 2016-09-23 |
| 1780084756 | Genevieve Morris | Clinic/Center | Central Alabama Va Medical Hospital, 215 Perry Hill Rd, Montgomery, AL 36109 | 2014-08-27 |
| 1871907568 | Spencer Holaway Durham | Pharmacist | 615 Perry Hill Road, Montgomery, AL 36109 | 2014-06-20 |
| 1811256084 | Philip Thomas Wilson | Family Medicine | 529 E Moye Dr, Montgomery, AL 36109 | 2012-05-09 |
| 1063744068 | Healthcare On Demand, PC | General Practice | 4135 Atlanta Highway, Montgomery, AL 36109 | 2010-02-02 |
| 1316158660 | Shepherd A Odom Md PC | Family Medicine | 4143 Atlanta Hwy, Family Practice, Montgomery, AL 36109 | 2007-05-25 |
| Find all providers in zip 36109 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992143 | Sheri Lynn Brown | Counselor | 11803 Briarwood Ln, Montgomery, TX 77356-5496 | 2020-11-04 |
| 1366069528 | Jenikke D Rozell | Counselor | 4135 Carmichael Rd Ste 320, Montgomery, AL 36106-3605 | 2020-07-02 |
| 1538782669 | Melissa S Moore | Counselor | 882 Plantation Way Ste C, Montgomery, AL 36117-2217 | 2020-05-23 |
| 1659994770 | Keiera Russell | Counselor | 1212 Azalea Park Ln, Montgomery, AL 36106-3278 | 2020-05-22 |
| 1508486812 | Tonda Denise West | Counselor | 230 Mendel Pkwy E Ste E, Montgomery, AL 36117-5404 | 2020-04-16 |
| 1215561162 | Ithaca A Gilbert | Counselor | 6617 Concord Mews, Montgomery, AL 36116-5293 | 2020-03-01 |
| 1942846944 | Colenthia Wright | Counselor | 112 Coliseum Blvd, Montgomery, AL 36109-2708 | 2019-11-25 |
| 1275195695 | Vera Chidima Oluoha-anyanwu | Counselor | 458 N Eastern Blvd, Montgomery, AL 36117-2212 | 2019-07-05 |
| 1497316962 | Lona Snell | Counselor | 22157 Stone Creek Ln, Montgomery, TX 77316-6765 | 2019-06-25 |
| 1881155885 | Marjorie Daphane Sharpe | Counselor | 225 W Wilding Dr, Montgomery, AL 36116-3735 | 2019-03-31 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36109 |
Please comment or provide details below to improve the information on JESSICA 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.