Mrs Christine Ellen Douglas, RD, LMNT, LD is a
Dietitian, Registered based in Kimball, Nebraska. Mrs Christine Ellen Douglas is licensed to practice in Nebraska (license number 458) and her current practice location is
505 S. Burg Street, Kimball Health Services At, Kimball, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(308) 235-1966.
NPI number for Mrs Christine Ellen Douglas is 1164843504 and her current mailing address is 505 S. Burg Street, Kimball Health Services At, Kimball, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164843504.
Healthcare Provider's Profile
Full Name | Mrs Christine Ellen Douglas |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 505 S. Burg Street, Kimball, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164843504
- Provider Enumeration Date: 01/03/2014
- Last Update Date: 01/03/2014
Medical Identifiers
Medical identifiers for Mrs Christine Ellen Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164843504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 458 (Nebraska) | Primary |
133V00000X | Dietitian, Registered | 022 (Wyoming) | Secondary |
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. Mrs Christine Ellen 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 |
Mrs Christine Ellen Douglas, RD, LMNT, LD 505 S. Burg Street, Kimball Health Services At, Kimball, NE 69145 Ph: (308) 235-1966 | Mrs Christine Ellen Douglas, RD, LMNT, LD 505 S. Burg Street, Kimball Health Services At, Kimball, NE 69145 Ph: (308) 235-1966 |
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