Kimberly Deshay Douglas, MA, MBC is a
Nurse's Aide based in Houston, Texas. Kimberly Deshay Douglas is licensed to practice in * (Not Available) (license number ) and her current practice location is
6430 Court Rd Bldg A, Houston, Texas. She can be reached at her office (for appointments etc.) via phone at
(325) 391-4168.
NPI number for Kimberly Deshay Douglas is 1144978040 and her current mailing address is 4904 Ripple Creek Dr, Baytown, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144978040.
Healthcare Provider's Profile
| Full Name | Kimberly Deshay Douglas |
|---|
| Gender | Female |
|---|
| Speciality | Nurse's Aide |
|---|
| Location | 6430 Court Rd Bldg A, Houston, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144978040
- Provider Enumeration Date: 03/10/2022
- Last Update Date: 04/20/2024
Medical Identifiers
Medical identifiers for Kimberly Deshay Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144978040 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| 376K00000X | Nurse's Aide | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Deshay Douglas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Deshay Douglas, MA, MBC
4904 Ripple Creek Dr,
Baytown, TX 77521-1913
Ph: (832) 427-8425 | Kimberly Deshay Douglas, MA, MBC
6430 Court Rd Bldg A,
Houston, TX 77053-4462
Ph: (325) 391-4168 |
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