DEVON E DOUGLAS (NPI# 1366959751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366959751 |
| Entity Type | Individual |
| Full Name | DEVON E DOUGLAS |
| Other Name | DEVON E BROWN |
| Credential | PSY.M. |
| Practice Address |
600 Wayne Ave Dayton OH 45410-1122 |
| Mailing Address |
3640 Colonel Glenn Hwy Dayton OH 45435-0001 |
| Practice Telephone | 9374692000 |
| Mailing Telephone | 9377753458 |
| Mailing Fax Number | 9377753434 |
| Enumeration Date | 2018-01-07 |
| Last Update Date | 2018-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
600 WAYNE AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45410-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811920556 | Eastway Corporation | Clinic/Center | 600 Wayne Ave, Dayton, OH 45410-1122 | 2006-07-08 |
| 1669072310 | Deonate Gary | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-30 |
| 1023618972 | Shakora Flowers | Licensed Practical Nurse | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-29 |
| 1396345153 | Heather Elaine Miller | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-29 |
| 1174123475 | Bettie Parks | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-27 |
| 1952900847 | Christina M Smith | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-21 |
| 1912505520 | Kelly E Blevins | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-15 |
| 1366049090 | Dana Bobalik | Social Worker | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-06 |
| 1780281576 | Heather Miller | Licensed Practical Nurse | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-05 |
| 1073110292 | Kristy Rothgeb | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376010801 | Yolanda D Howard | Counselor | 519 Xenia Ave, Dayton, OH 45410 | 2018-11-02 |
| 1265713713 | Amber Howard | Counselor | 1500 Coventry Rd, Dayton, OH 45410 | 2011-08-29 |
| 1386815207 | Heather Lynne Waggoner | Social Worker | 600 Wayne Avenue, Dayton, OH 45410 | 2008-03-19 |
| 1104973882 | Byron G Epley Dds Inc | Dentist | 709 Xenia Ave, Dayton, OH 45410 | 2007-01-04 |
| 1720569346 | Jennifer Marie Howell | Social Worker | 732 Beckman Street, Dayton, OH 45410 | 2018-08-22 |
| 1295186898 | Stephanie Louise Weigel | Nurse Practitioner | 600 Wayne Avenue, Dayton, OH 45410 | 2016-06-24 |
| 1326499021 | Courtney Renee Downing | Registered Nurse | 600 Wayne Ave., Dayton, OH 45410-1122 | 2016-06-24 |
| 1982791729 | Robert Orgain Hardy | Psychiatry & Neurology | 600 Wayne Av, Eastway Behavioral Healthcare, Dayton, OH 45410-1122 | 2006-10-05 |
| 1619223401 | Joshua Matthew Estepp | Home Health Aide | 229 Adams St, Dayton, OH 45410-1205 | 2012-07-30 |
| 1164778957 | Myekale S Novy | Home Health Aide | 229 Adams St, Dayton, OH 45410-1205 | 2012-07-30 |
| Find all providers in zip 45410 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434925 | Madeline Mae Juergens | Student in an Organized Health Care Education/Training Program | 3600 Colonel Glenn Hwy 117 Health Sciences Bldg, Dayton, OH 45435-0001 | 2020-10-14 |
| 1932729662 | Benjamin Mallicoat | Student in an Organized Health Care Education/Training Program | 128 E Apple St Ste 2800, Dayton, OH 45409-2902 | 2020-04-22 |
| 1306465877 | Chase Smith | Student in an Organized Health Care Education/Training Program | 4100 W 3rd St Bldg 330, Dayton, OH 45428-9000 | 2020-04-14 |
| 1255960233 | Landon Rosevear | Student in an Organized Health Care Education/Training Program | 128 E Apple St Fl 7, Dayton, OH 45409-2902 | 2020-04-02 |
| 1598392391 | Brett Douglas Foster | Student in an Organized Health Care Education/Training Program | 12 Garret St, Dayton, OH 45410-1226 | 2020-03-24 |
| 1538706940 | Anthony Kelemen | Student in an Organized Health Care Education/Training Program | Sopp At Wright State University, 117 Health Sci Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2019-12-04 |
| 1275184764 | Rachel Wininger | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Building 3640 Colonel Glenn Highway, Dayton, OH 45435-0001 | 2019-09-25 |
| 1801444955 | Ashley Elizabeth Murphy | Student in an Organized Health Care Education/Training Program | Wsu School of Professional Psychology, 3640 Colonel Glenn Hwy, 117 Health Sciences Bldg, Dayton, OH 45435 | 2019-09-02 |
| 1245888304 | Melissa Irene Schmerr | Student in an Organized Health Care Education/Training Program | School of Professional Psychology Wright State Universi, 117 Health Science Bldg. 3640 Colonel Glenn Hwy., Dayton, OH 45435-0001 | 2019-08-30 |
| 1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
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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.