Mrs Teisha Lightbourne Douglass, MPH, RD, CNSC, IBCLC - Dietitian in Durham, NC

Mrs Teisha Lightbourne Douglass, MPH, RD, CNSC, IBCLC is a Dietitian, Registered based in Durham, North Carolina. Mrs Teisha Lightbourne Douglass is licensed to practice in North Carolina (license number L005095) and her current practice location is 2301 Erwin Rd, Durham, North Carolina. She can be reached at her office (for appointments etc.) via phone at (919) 684-4278.

NPI number for Mrs Teisha Lightbourne Douglass is 1699154310 and her current mailing address is 200 Trent Drive Purple Zone Room 015 Basement, Durham, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699154310.

Contact Information

Mrs Teisha Lightbourne Douglass, MPH, RD, CNSC, IBCLC
2301 Erwin Rd,
Durham, NC 27705-4699
(919) 684-4278
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Teisha Lightbourne Douglass
GenderFemale
SpecialityDietitian, Registered
Location2301 Erwin Rd, Durham, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699154310
  • Provider Enumeration Date: 05/27/2015
  • Last Update Date: 03/14/2023

Medical Identifiers

Medical identifiers for Mrs Teisha Lightbourne Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699154310NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered L005095 (North Carolina)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. Mrs Teisha Lightbourne Douglass 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 AddressPractice Location Address
Mrs Teisha Lightbourne Douglass, MPH, RD, CNSC, IBCLC
200 Trent Drive Purple Zone Room 015 Basement,
Durham, NC 27710-0001

Ph: (919) 668-6136
Mrs Teisha Lightbourne Douglass, MPH, RD, CNSC, IBCLC
2301 Erwin Rd,
Durham, NC 27705-4699

Ph: (919) 684-4278

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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