HEATHER DOUGLAS (NPI# 1558708339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558708339 |
| Entity Type | Individual |
| Full Name | HEATHER DOUGLAS |
| Credential | M.D. |
| Practice Address |
Medical Center Blvd Winston Salem NC 27157-0001 |
| Practice Telephone | 3367162011 |
| Mailing Telephone | 3367162011 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2016-01954 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356815104 | Heather Douglas | Acupuncturist | 401 23rd St Ste 104b, Glenwood Springs, CO 81601-4363 | 2019-01-15 |
| 1891861431 | Heather L Douglas | Social Worker | 360 N Caswell Rd, Charlotte, NC 28204-2442 | 2006-11-27 |
| 1972011070 | Heather Douglas | Early Intervention Provider Agency | 15 South St, Hudson, MA 01749-2205 | 2018-01-11 |
| 1811416951 | Heather Michaela Douglas | Physician Assistant | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2017-09-10 |
| 1265714992 | Heather H Douglas | Counselor | 6502 Grand Teton Plz, Suite 203, Madison, WI 53719-1047 | 2011-09-20 |
| 1114134418 | Heather L Douglas | Social Worker | 200 Eastern Ave Se, Grand Rapids, MI 49503-4735 | 2007-05-17 |
| Street Address |
MEDICAL CENTER BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990815 | Gary Lee Ray | Registered Nurse | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-05-23 |
| 1881295418 | Alan Townes Grizzard | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-11-02 |
| 1003421751 | Nicholas Ryan Tuttle | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-09-10 |
| 1356956122 | Caitlin Marie Clement | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27103 | 2020-09-09 |
| 1376154591 | Lori Sansone Flores | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-11 |
| 1821609330 | Hannah Carey Walker | Physician Assistant | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-10 |
| 1447876883 | Raveena Mahesh Chhabria | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-22 |
| 1780205930 | Jason Chin | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-1087 | 2020-04-29 |
| 1972122885 | Bryanna Dean Vesely | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-04-10 |
| 1679102909 | Ameen Barghi | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-2803 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609317569 | Certus Psychiatry and Integrated Care Pllc | Psychiatry & Neurology | 1255 Creekshire Way, Suite 270, Winston Salem, NC 27103-3059 | 2017-03-12 |
| 1982142550 | Susmita Hazarika | Psychiatry & Neurology | 5092 Nottingham Place Ln, Apt 202, Winston Salem, NC 27106-4690 | 2017-02-03 |
| 1396165056 | Poonam Deshmukh | Psychiatry & Neurology | Wake Forest Medical Center Medical Center Blvd, Winston Salem, NC 27157-0001 | 2014-04-21 |
| 1912340324 | Derek Ayers | Psychiatry & Neurology | Medical Ceneter Blvd, Winston Salem, NC 27157-0001 | 2013-04-16 |
| 1427319698 | Jacquetta Melony Foushee | Psychiatry & Neurology | 140 Kimel Park Dr # 200, Winston Salem, NC 27103-6160 | 2012-06-05 |
| 1972737922 | Tayyba G Buttar | Psychiatry & Neurology | 3736 Old Vineyard Rd, Old Vineyard Behavioral Health Services, Winston Salem, NC 27284 | 2009-05-05 |
| 1912114513 | William Thomas Harris | Psychiatry & Neurology | 1010 W Northwest Blvd, Winston Salem, NC 27101-1105 | 2007-05-16 |
| 1093856395 | Barbara Ballow Lankton | Psychiatry & Neurology | 1066 West Fourth St, Winston Salem, NC 27101-2434 | 2007-02-09 |
| 1699828475 | Ashleybrook Clinic Pa | Psychiatry & Neurology | 1321 Ashleybrook Lane, Winston Salem, NC 27103-2918 | 2007-01-18 |
| 1205946050 | Lea Harrell Kirkland | Psychiatry & Neurology | 2990 Bethesda Place, Suite 601-a, Winston Salem, NC 27103 | 2006-08-30 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27157 |
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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.