MS. KIMBERLY CANDECE DOUGLAS (NPI# 1609387463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609387463 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY CANDECE DOUGLAS |
| Credential | RN |
| Practice Address |
175 Gwinnett Dr Lawrenceville GA 30046-8444 |
| Practice Telephone | 6782092394 |
| Practice Fax Number | 6782126343 |
| Mailing Telephone | 6782092394 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN225188 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942533153 | Kimberly Mark Douglas | Optometrist | 15640 Don Lochman Ln Ste C, Charlotte, NC 28277-4442 | 2009-09-08 |
| 1154448561 | Kimberly Brooke Douglas | Case Manager/Care Coordinator | 90 North Thirty First, Clinton, OK 73601 | 2007-03-23 |
| 1609941962 | Kimberly Marie Douglas | Speech-Language Pathologist | 1625 W Geronimo St, Chandler, AZ 85224-5616 | 2006-11-22 |
| 1558711077 | Kimberly Douglas | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2016-06-15 |
| 1508268962 | Kimberly Douglas | Registered Nurse | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2014-09-17 |
| 1932406659 | Kimberly Ann Douglas | Counselor | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2011-02-15 |
| 1578786315 | Kimberly Douglas | Counselor | 8210 S Bright Rd, French Camp, CA 95231-9759 | 2007-04-10 |
| 1619017670 | Kimberly A Douglas | Pediatrics | 27800 Medical Center Rd, Suite 138, Mission Viejo, CA 92691-6410 | 2007-02-07 |
| 1770675738 | Kimberly Marie Douglas | Family Medicine | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2006-09-28 |
| Street Address |
175 GWINNETT DR |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-8444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609853860 | View Point Health | Day Training, Developmentally Disabled Services | 175 Gwinnett Dr, Post Office Box 687, Lawrenceville, GA 30046-8444 | 2005-12-29 |
| 1235739400 | Jennifer Kabiu | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-27 |
| 1164021135 | Irene Bautista Lopez | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-21 |
| 1720686132 | Kimberly Gamble | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-16 |
| 1205443868 | Pablo David Faundez | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-28 |
| 1295341717 | Sydney Calloway | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-21 |
| 1275149932 | Kenysha Doyen Thompson | Social Worker | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-18 |
| 1457967218 | Taylor Mays | Social Worker | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-17 |
| 1366058299 | Emma Paduraru | Nutritionist | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-16 |
| 1922613330 | Shamikia Mcghee | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407381817 | Divine Psychiatric Care | Registered Nurse | 2651 Cedar Dr, Lawrenceville, GA 30043-1325 | 2017-04-23 |
| 1841601010 | Oyenike Sanni | Registered Nurse | 780 Paper Creek Dr, Lawrenceville, GA 30046-5331 | 2014-05-09 |
| 1497193197 | Colleen Birkhofer | Registered Nurse | 2530 Brunswick Pike, Lawrenceville, NJ 08648 | 2013-06-05 |
| 1306047592 | Margaret Shelby | Registered Nurse | 175 Gwinnett Dr., Lawrenceville, GA 30046 | 2007-05-29 |
| 1720686132 | Kimberly Gamble | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-16 |
| 1881217883 | Siobhan Oriaifo | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-05-26 |
| 1578197125 | Franckel Saintil | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-02-22 |
| 1285285072 | Tresa Morris | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2019-09-24 |
| 1629575642 | Kadian Miller | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2018-04-06 |
| 1972002715 | Angelina Sarsah | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2018-02-07 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on MS. KIMBERLY CANDECE 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.