MR. DAVID KEVIN DOUGLASS (NPI# 1780624353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780624353 |
| Entity Type | Individual |
| Full Name | MR. DAVID KEVIN DOUGLASS |
| Credential | N.P. |
| Practice Address |
9352 Park West Blvd Knoxville TN 37923-4325 |
| Mailing Address |
1611 S Federal Hwy Pompano Beach FL 33062-7514 |
| Practice Telephone | 8653731000 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2016-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9433012 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3649094 | 05 | |
| TN | BLUE CROSS | 4092979 | 01 |
| TN | RAILROAD MEDICARE | P00308336 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417949678 | David Thomas Douglass | Optometrist | 955 Broadway, Bangor, ME 04401-2918 | 2005-08-15 |
| 1649526195 | David Leonard Douglass | Pharmacist | 3362 S 3rd St, Memphis, TN 38109-2944 | 2012-08-01 |
| 1639145741 | David Douglass | Pediatrics | 66 Lake Concord Rd Ne, Cabarrus Pediatric Clinic, Concord, NC 28025-3057 | 2006-02-28 |
| Street Address |
9352 PARK WEST BLVD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902890908 | Guy E Nichols | Pathology | 9352 Park West Blvd, Knoxville, TN 37923-4325 | 2005-09-06 |
| 1649883257 | Samantha Nunamaker | Registered Nurse | 9352 Park West Blvd, Knoxville, TN 37923-4325 | 2020-08-25 |
| 1932748688 | Levi Jordan Gault | Nurse Anesthetist, Certified Registered | 9352 Park West Blvd, Knoxville, TN 37923-4325 | 2019-12-29 |
| 1326699323 | Carrie Ratliff-yahyavi | Counselor | 9352 Park West Blvd, Knoxville, TN 37923-4325 | 2019-09-23 |
| 1710537956 | Joshua J Vanacker | Specialist/Technologist, Other | 9352 Park West Blvd, Knoxville, TN 37923 | 2019-09-19 |
| 1306400957 | Brittany N Farabollini | Nurse Anesthetist, Certified Registered | 9352 Park West Blvd, Knoxville, TN 37923-4325 | 2019-04-30 |
| 1972042356 | Bryan L Norrod | Nurse Anesthetist, Certified Registered | 9352 Park West Blvd, Knoxville, TN 37923-4325 | 2017-02-17 |
| 1043693310 | Matthew Mark Conrad | Nurse Anesthetist, Certified Registered | 9352 Park West Blvd, Knoxville, TN 37923-4325 | 2015-07-06 |
| 1598150997 | Austin Stephenson | Anesthesiology | 9352 Park West Blvd, Knoxville, TN 37923-4325 | 2015-04-02 |
| 1598197873 | Loren Payne | Registered Nurse | 9352 Park West Blvd, Knoxville, TN 37923-4325 | 2013-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
| 1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
| 1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| 1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
| Find all providers in zip 37923 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908154 | Courtney Diane Vance | Nurse Practitioner | 936 Station View Rd, Knoxville, TN 37919-2034 | 2020-10-01 |
| 1588274542 | Heather Herren | Nurse Practitioner | 12337 N Fox Den Dr, Knoxville, TN 37934-3713 | 2020-08-05 |
| 1194333849 | Kaci Carol Newlin | Nurse Practitioner | 1924 Alcoa Hwy # C460, Knoxville, TN 37920-1511 | 2020-07-20 |
| 1801428958 | Alexandria Paige Watson | Nurse Practitioner | 4928 Homberg Dr Ste 27, Knoxville, TN 37919-5145 | 2020-02-06 |
| 1891333191 | Knoxville Home Care Services LLC | Nurse Practitioner | 1512 Coleman Rd Ste 302, Knoxville, TN 37909-2828 | 2019-12-17 |
| 1184267148 | Becky Lynn Lyons Dills | Nurse Practitioner | 1220 Amber Meadows Cir, Knoxville, TN 37932-2401 | 2019-10-22 |
| 1083260764 | Logan Dameron | Nurse Practitioner | 4156 Walker Blvd, Knoxville, TN 37917-2217 | 2019-08-17 |
| 1518510163 | Dusti Autumn Jones | Nurse Practitioner | 3325 Barbury Ln, Knoxville, TN 37931-1443 | 2019-07-23 |
| 1487206777 | Harli-blaine L Oran | Nurse Practitioner | 4713 Papermill Dr Ste 301, Knoxville, TN 37909-1908 | 2019-07-16 |
| 1942764907 | Andrew Russell Brower | Nurse Practitioner | 1932 Alcoa Hwy Ste C460, Knoxville, TN 37920-1587 | 2019-01-24 |
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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.