LORI LYNN DOUGLASS (NPI# 1205033842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205033842 |
| Entity Type | Individual |
| Full Name | LORI LYNN DOUGLASS |
| Practice Address |
4711 Huron Dr Pensacola FL 32507 |
| Mailing Address |
4711 Huron Dr Pensacola FL 32507-8738 |
| Practice Telephone | 8502617769 |
| Mailing Telephone | 8502617769 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4711 HURON DR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725163 | Rachel Lynn Cain | Social Worker | Jacc Hudvash C/o Rachel Cain, 790 Veteran's Way, Pensacola, FL 32507 | 2019-05-20 |
| 1710489562 | Erika Ruth Atkins | Developmental Therapist | 14530 Perdido Key Dr., Unit 6, Pensacola, FL 32507 | 2018-03-07 |
| 1013431600 | Megan Wohlers | Optometrist | 12591 Sorrento Rd Ste B, Pensacola, FL 32507 | 2017-07-26 |
| 1568834182 | Kalia Belessis | Behavioral Analyst | 30 S. 3rd Street, Pensacola, FL 32507 | 2015-10-22 |
| 1245677327 | Pensacola Imaging, LLC | Radiology | 12385 Sorrento Road, Suite B1, Pensacola, FL 32507 | 2013-05-29 |
| 1518301696 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 | 2013-04-19 |
| 1851528764 | Xin Wei | Internal Medicine | 6000 West Highway 98, Apo, AP 32507 | 2009-06-18 |
| 1346461985 | Jennifer Ann Sculley | Pharmacist | 13019 Sorrento Road, Pensacola, FL 32507 | 2007-05-01 |
| 1528183704 | Al M Ridlehoover | Dentist | 302 W Sunset Ave, Pensacola, FL 32507 | 2007-03-20 |
| 1770649675 | Brian M Lee | Family Medicine | 10 Doug Ford Drive, Pensacola, FL 32507 | 2006-12-28 |
| Find all providers in zip 32507 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275186678 | Jeanette English | Day Training, Developmentally Disabled Services | 1967 Gary Cir, Pensacola, FL 32505-5459 | 2019-07-24 |
| 1124539739 | Tjuana Yolandra Mcneilly | Day Training, Developmentally Disabled Services | 301 E Moreno St, Pensacola, FL 32503-5257 | 2017-10-23 |
| 1851731699 | A Better Choice, Supports & Services, Inc | Day Training, Developmentally Disabled Services | 1302 Dunmire St, Pensacola, FL 32504-6625 | 2013-06-25 |
| 1780868067 | Fountain Support Services | Day Training, Developmentally Disabled Services | 7957 Perth Ave, Pensacola, FL 32534-4056 | 2007-12-22 |
| 1326185703 | Debbie Clark Support Services Inc. | Day Training, Developmentally Disabled Services | 426 Tanglewood Dr, Pensacola, FL 32503-3225 | 2007-02-01 |
| 1033267281 | Denese Meyer Support Services | Day Training, Developmentally Disabled Services | 7921 Early Dr, Pensacola, FL 32534-4429 | 2007-01-06 |
| 1013024348 | Revelations Direct Care Services | Day Training, Developmentally Disabled Services | 707 Pace Blvd, Suite B, Pensacola, FL 32501 | 2006-08-24 |
| 1841785482 | Spencer Counseling & Therapy | Day Training, Developmentally Disabled Services | 6866 Pine Forest Rd Ste A, Pensacola, FL 32526-6903 | 2018-06-26 |
| 1720579949 | In The Comfort of Home, Inc. | Day Training, Developmentally Disabled Services | 1302 Dunmire St, Pensacola, FL 32504-6625 | 2018-05-23 |
| 1407369655 | Living Therapeutically | Day Training, Developmentally Disabled Services | 301 E Moreno St, Pensacola, FL 32503-5257 | 2017-11-09 |
| Find all providers in PENSACOLA | ||||
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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.