KATHRYN ELIZABETH DOUGLASS


Address: 17750 Hutchins Dr., Minnetonka, MN 55345
Phone: 9524018300

KATHRYN ELIZABETH DOUGLASS (NPI# 1497043954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497043954
Entity Type Individual
Full Name KATHRYN ELIZABETH DOUGLASS
Credential CPNP
Practice Address 17750 Hutchins Dr.
Minnetonka
MN 55345
Practice Telephone 9524018300
Practice Fax Number 9524018373
Mailing Telephone 9524018300
Mailing Fax Number 9524018373
Enumeration Date 2011-07-19
Last Update Date 2011-07-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
20102395 MN Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATHRYN DOUGLASS

NPI Name Taxonomy Address Enumeration
1912552373 Kathryn Douglass Social Worker 3803 French Rd, Detroit, MI 48214-1586 2019-08-02
1245645472 Kathryn Douglass Genetic Counselor, MS 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 2014-06-26

Office Location

Street Address 17750 HUTCHINS DR.
City MINNETONKA
State MN
Zip Code 55345

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417587205 Pain Partners LLC Pharmacist 15225 Wild Wings Court, Minnetonka, MN 55345 2020-01-21
1356811608 Caitlin Marie Peterson Specialist/Technologist 15708 Wood Knoll Lane, Minnetonka, MN 55345 2018-11-29
1649747007 West Side Counseling LLC Community/Behavioral Health 10520 Wayzata Blvd., Suite 100, Minnetonka, MN 55345 2018-10-24
1689173247 Theresa Tsuchiya Psychologist Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 2018-02-08
1497264147 Minnetonka Assisted Living and Hospice Community Health Worker 14667 Lake Street Extension, Minnetonka, MN 55345 2017-09-26
1619494671 Shree Revenue Management Durable Medical Equipment & Medical Supplies 6117, Creek Ridge Ct, Minnetonka, MN 55345 2017-08-29
1538606876 Stefani Yanizeski Speech-Language Pathologist Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 2017-01-25
1790157469 Greg Anderson Psychologist 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 2015-10-21
1861896375 Kristine L Smith Marriage & Family Therapist 5125 County Road 101 Suite 300, Minnetonka, MN 55345 2014-10-13
1982014460 Miranda Jean Johnson Speech-Language Pathologist 15265 Minnetonka Blvd., Minnetonka, MN 55345 2014-05-06
Find all providers in zip 55345

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336642131 Caitlin Anna Lingbeck Nurse Practitioner 14001 Ridgedale Dr #100, Minnetonka, MN 55305-1781 2018-03-18
1952373102 Tamara Lynn Whyte Kasmarik Nurse Practitioner 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102 2006-02-02
1144718933 Kirsten Dougherty Nurse Practitioner 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 2018-04-26
1528502556 Teresa Bekkala Nurse Practitioner 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 2016-12-09
1427410778 Hoa Ly Trinh Nurse Practitioner 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 2016-03-25
1104074434 Andrea Margaret Gravley Nurse Practitioner 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102 2008-08-28
1134188766 Elizabeth Anne Hass Nurse Practitioner 17705 Hutchins Dr, Suite 101, Minnetonka, MN 55345-4145 2006-03-22
1639147192 Nicole Anne Martens Nurse Practitioner 17705 Hutchins Dr, Minnetonka, MN 55345-4145 2006-03-10
1871560441 Lynda Jean Stuber Nurse Practitioner 14001 Ridgedale Dr, Ste 100, Minnetonka, MN 55305-1781 2006-03-02
1306810833 Madalynne Helen Ahmann Nurse Practitioner 14001 Ridgedale Dr, #100, Minnetonka, MN 55305-1753 2006-02-13
Find all providers in MINNETONKA

Competitor

Search similar providers

City MINNETONKA
Zip Code 55345

Improve Information

Please comment or provide details below to improve the information on KATHRYN ELIZABETH DOUGLASS.

Dataset Information

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.

Trending Searches