DUSTIN DOUGLAS (NPI# 1447789888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447789888 |
| Entity Type | Individual |
| Full Name | DUSTIN DOUGLAS |
| Practice Address |
50 N 21 St #139 Las Vegas NV 89101 |
| Mailing Address |
50 N 21st St Apt 139 Las Vegas NV 89101-5076 |
| Practice Telephone | (702) 955-0912 |
| Mailing Telephone | 7029550912 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers | ||
| N | 224ZR0403X |
Occupational Therapy Assistant Specialization: Driving and Community Mobility |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649244153 | Dustin T Douglas | Pharmacist | 19740 Alberta St, Oneida, TN 37841-3305 | 2006-02-14 |
| Street Address |
50 N 21 ST #139 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671290 | Nadhc At The Acsc, Inc. | Respite Care | 330 N. 13th Street, Las Vegas, NV 89101 | 2019-10-23 |
| 1861033730 | Militza Mares Mikovich | Case Manager/Care Coordinator | 820 S 7th Street Ste A, Las Vegas, NV 89101 | 2019-10-02 |
| 1598311862 | Catalina Ruiz-perez | Technician | 1420 James St., L, Las Vegas, NV 89101 | 2019-08-13 |
| 1053880831 | Samantha Okumura | Specialist/Technologist | 701 E Bridger Ave Ste 150, Las Vegas, NV 89101 | 2018-11-21 |
| 1447752860 | Ratref T Havlin | Technician | 1820 East Bonanza Apt 1, Las Veges, NV 89101 | 2018-03-01 |
| 1396255808 | David Markus Stevens | Technician/Technologist | 930 N. 4th Street, Las Vegas, NV 89101 | 2017-10-10 |
| 1013389535 | Direct Scripts Mail, LLC | Pharmacy | 71 N Pecos Road, Suite 104, Las Vegas, NV 89101 | 2015-10-23 |
| 1699169920 | Westcare Nevada Inc | Community/Behavioral Health | 323 N Maryland Parkway, Las Vegas, NV 89101 | 2015-03-25 |
| 1639574262 | Misty Davis | Registered Nurse | 930 N. 4th St., Las Vegas, NV 89101 | 2014-10-24 |
| 1801211891 | Andrea Trujillo I | Psychologist | 3020 E Bonanza Suite 160-a, Las Vegas, NV 89101 | 2014-02-27 |
| Find all providers in zip 89101 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093339749 | Melanie Marie Davis | Driver | 5055 E Charleston Blvd Apt C116, Las Vegas, NV 89104-6476 | 2020-05-28 |
| 1477183788 | Saimone Sandra Sailor | Driver | 2589 Pine Creek Rd, Las Vegas, NV 89115-4335 | 2020-01-26 |
| 1043840515 | Felton Dwight Davis | Driver | 8865 Knickknack Ct, Las Vegas, NV 89149-0452 | 2020-01-23 |
| 1033675756 | Ralph Mesa | Driver | 6514 Brook Cottage Ln, Las Vegas, NV 89122-0847 | 2019-02-18 |
| 1013485267 | Katarina Karapetyan | Driver | 7473 Pepperbox Ave, Las Vegas, NV 89179-1815 | 2018-11-06 |
| 1609367465 | Michael J Defazio | Driver | 6755 Shelter Ln, Las Vegas, NV 89103-4369 | 2018-05-28 |
| 1053825125 | Henry Thrasher | Driver | 3335 Hauck St, Las Vegas, NV 89146-8022 | 2017-11-27 |
| 1831601806 | Kamoreah Williams | Driver | 1906 H St, Las Vegas, NV 89106-2536 | 2017-10-31 |
| 1912440199 | Taylor Hart | Driver | 5300 E Craig Rd, Las Vegas, NV 89115-2215 | 2016-11-21 |
| 1790234961 | Melissa Chavez | Driver | 5613 Grand Guiness Ct, Las Vegas, NV 89130-1366 | 2016-09-28 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on DUSTIN 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.