DR. ANDREA DOUGLAS (NPI# 1457972267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457972267 |
| Entity Type | Individual |
| Full Name | DR. ANDREA DOUGLAS |
| Credential | AGACNP-DNP |
| Practice Address |
775 S Main St Chelsea MI 48118-1383 |
| Mailing Address |
8376 Reese Ln Ann Arbor MI 48103-9753 |
| Practice Telephone | 7343431189 |
| Practice Fax Number | 3129579997 |
| Mailing Telephone | 7346455858 |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704284423 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184656779 | Andrea F Douglas | Neurological Surgery | 25 Valley Dr, Greenwich, CT 06831-5203 | 2006-07-06 |
| 1689188591 | Andrea Gabrielle Douglas | Pharmacist | 3350 Peachtree Rd Ne, Atlanta, GA 30326-1039 | 2017-11-30 |
| 1033510375 | Andrea Douglas | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2014-09-05 |
| 1609095199 | Andrea M Douglas | Physical Therapist | 251 Landis Ave, Suite 201, Chula Vista, CA 91910-2628 | 2007-04-24 |
| 1376585497 | Andrea Jean Douglas | Physician Assistant | 440 W Foothill Blvd, Glendora, CA 91741-3361 | 2006-06-12 |
| Street Address |
775 S MAIN ST |
| City | CHELSEA |
| State | MI |
| Zip Code | 48118-1383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992761985 | St Joseph Mercy Chelsea Inc | General Acute Care Hospital | 775 S Main St, Chelsea, MI 48118-1370 | 2006-04-26 |
| 1023642055 | St Joseph Mercy Chelsea Inc | Nurse Anesthetist, Certified Registered | 775 S Main St, Chelsea, MI 48118-1383 | 2020-02-28 |
| 1033778733 | Chelsea Community Hospital | Clinic/Center | 775 S Main St, Chelsea, MI 48118-1383 | 2019-06-07 |
| 1629549662 | Thomas James Lafleur | Specialist/Technologist | 775 S Main St, Chelsea, MI 48118-1383 | 2018-12-17 |
| 1376014456 | Valerie Jean-glysson Towery | Specialist/Technologist | 775 S Main St, Chelsea, MI 48118-1383 | 2018-12-16 |
| 1922574672 | Kathleen Anderson Baines | Speech-Language Pathologist | 775 S Main St, Chelsea, MI 48118-1383 | 2018-10-21 |
| 1851867949 | Latasha Allen | Occupational Therapist | 775 S Main St, Chelsea, MI 48118-1383 | 2018-10-16 |
| 1336615475 | Margaret Mcinroy Boshoven | Speech-Language Pathologist | 775 S Main St, Chelsea, MI 48118 | 2018-10-16 |
| 1639644966 | Renee Lounsberry | Speech-Language Pathologist | 775 S Main St, Chelsea, MI 48118-1383 | 2018-10-13 |
| 1215402680 | Susan Marie Aagenas | Physical Therapist | 775 S Main St, Chelsea, MI 48118-1383 | 2018-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689139354 | Timothy Edward Johnson | Behavioral Analyst | 1075 N Main Street, Chelsea, MI 48118 | 2019-02-06 |
| 1548731847 | Daniel Mcnerney | Behavior Technician | 107.5 N Main St, Chelsea Mi 48118, MI 48118 | 2018-12-12 |
| 1285177881 | Marla J Field | Counselor | 350 North Main Street, Thriving Minds Family Service, Chelsea, MI 48118 | 2016-11-30 |
| 1093115032 | Elizabeth Spotts | Social Worker | 350 N Main St Ste 220, Chelsea, MI 48118 | 2014-08-27 |
| 1336553239 | Kylene Willsey | Pediatrics | 13699 E Old Us Highway 12, Chelsea, MI 48118 | 2014-06-18 |
| 1730590985 | Vandan Shah | Dermatology | 14650 E. Old Us 12, Suite 308, Chelsea, MI 48118 | 2014-05-09 |
| 1447695952 | James Herbert Botsford | Family Medicine | 201 E. Cedar Lake Dr., Chelsea, MI 48118 | 2013-05-10 |
| 1972864403 | Caroline Nicole Wolfe Wurtzel | Orthopaedic Surgery | 14650 E Old Us Highway 12 Ste 104, Chelsea, MI 48118 | 2012-05-31 |
| 1396019766 | Markus Koch | Mechanotherapist | 21390 Waterloo Rd, Chlesea, MI 48118 | 2012-03-02 |
| 1023305810 | Denise Renae Rokke | Occupational Therapist | 801 W Middle St, Chelsea, MI 48118 | 2011-06-30 |
| Find all providers in zip 48118 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578985875 | Kelly Marie Stovall | Nurse Practitioner | 310 N Main St, Suite 301, Chelsea, MI 48118-1555 | 2014-01-06 |
| 1932225430 | Anne Louise Drake | Nurse Practitioner | 151 Everett Ave, Mgh Chelsea Urgent Care, Chelsea, MA 02150-1812 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759396 | Zainab Ali Hachem | Nurse Practitioner | 5158 Neckel St, Dearborn, MI 48126-3217 | 2020-10-29 |
| 1861092900 | Lindsay Overall | Nurse Practitioner | 1962 Sherlynn Dr, Brighton, MI 48114-7618 | 2020-10-28 |
| 1588289144 | Anne Elizabeth Stephan | Nurse Practitioner | 1320 Addington Ln, Ann Arbor, MI 48108-8951 | 2020-06-10 |
| 1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
| 1023637766 | Jbnp Services, LLC | Nurse Practitioner | 19520 Parker St, Livonia, MI 48152-1579 | 2020-04-13 |
| 1912536137 | Mary Bailey | Nurse Practitioner | 8254 Twin Creek Cir, Temperance, MI 48182-8202 | 2020-04-08 |
| 1679108500 | Jennifer Ann Rutzen | Nurse Practitioner | 5802 Montebello Ave, Haslett, MI 48840-8208 | 2020-03-11 |
| 1871126813 | Gregory M Ali | Nurse Practitioner | 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 | 2020-02-18 |
| 1730712969 | Anthony Joseph Jurecic | Nurse Practitioner | 2382 Us 41 W, Marquette, MI 49855-2456 | 2020-02-17 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ANDREA 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.