| Katie Douglas, NP | |
|
1305 N Elm St, Henderson, KY 42420-2783 | |
| (270) 831-7937 | |
| (270) 831-7939 |
| Full Name | Katie Douglas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1305 N Elm St, Henderson, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730946252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4016642 (Kentucky) | Primary |
| Entity Name | Deaconess Specialty Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306344817 PECOS PAC ID: 0244595205 Enrollment ID: O20180702001637 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Douglas, NP Po Box 632111, Cincinnati, OH 45263-2111 Ph: () - | Katie Douglas, NP 1305 N Elm St, Henderson, KY 42420-2783 Ph: (270) 831-7937 |
Kristin Denise Bugg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Merritt Dr, Henderson, KY 42420 Phone: 270-827-0064 Fax: 270-826-3338 | |
Lacey N Roberts, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Third St, Suite 250, Henderson, KY 42420 Phone: 270-826-0135 Fax: 270-827-8798 | |
Raven Whitney Ray, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 3rd St, Suite 180, Henderson, KY 42420 Phone: 270-827-3573 Fax: 270-827-1250 | |
Rebecca Lynn Braden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 N Gardenmile Rd, Henderson, KY 42420 Phone: 270-830-9186 | |
Raven Nicole Pirtle, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Glenshiel Dr, Henderson, KY 42420 Phone: 270-952-8391 | |
Ashley Nicole Durham, APRN, CNM, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 319 8th St Ste C, Henderson, KY 42420 Phone: 270-830-3056 Fax: 270-830-3058 | |
Melissa Joyce Owens, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1023 N Elm St, Henderson, KY 42420 Phone: 270-826-0838 Fax: 270-830-0371 |