MRS. OCTAVIA DOUGLAS (NPI# 1376161059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376161059 |
| Entity Type | Individual |
| Full Name | MRS. OCTAVIA DOUGLAS |
| Practice Address |
70 Highland Park Dr Levittown PA 19056-1338 |
| Practice Telephone | 9089548942 |
| Mailing Telephone | 9089548942 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN309164 | PA | Nursing Service Providers |
| Street Address |
70 HIGHLAND PARK DR |
| City | LEVITTOWN |
| State | PA |
| Zip Code | 19056-1338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851482 | Lady Bugs Compassionate Caregivers LLC | Home Health | 70 Highland Park Dr, Levittown, PA 19056-1338 | 2020-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972012714 | Robert L Davis | Internal Medicine | 107 Forsythia Dr N, Levittown, PA 19056 | 2017-09-25 |
| 1841677820 | Marissa Hudak Witt-doerring | Psychiatry & Neurology | 1331 Lincoln Hwy # 143, Levittown, PA 19056 | 2015-04-29 |
| 1366747537 | Joann K Pina | Counselor | 8 Sycamore Rd, Levittown, PA 19056 | 2011-01-20 |
| 1588971923 | Visions Eye Care Ct. | Technician/Technologist | 4357 New Falls Road, Levittown, PA 19056 | 2010-09-07 |
| 1942516398 | Jerry Gregory Balella Jr. | Pharmacist | 4537 New Falls Rd, Levittown, PA 19056 | 2010-08-24 |
| 1649585050 | Ursula Onuchukwu | Pharmacist | 4537 New Falls Road, Levittown, PA 19056 | 2010-08-10 |
| 1881763688 | Douglas Thomas Mormello | Chiropractor | 152 Harmony Road, Levittown, PA 19056 | 2006-11-07 |
| 1386737807 | David M. Petro | Family Medicine | 4595 New Falls Rd Ste A, Levittown, PA 19056 | 2006-10-02 |
| 1437181567 | Bernard Schwartz | Physician Assistant | 1854 New Rodgers Rd, Levittown, PA 19056 | 2006-07-07 |
| 1750324760 | Michelle M Cunningham | Specialist | 1400 Veterans Highway, Suite 103, Levittown, PA 19056 | 2006-06-14 |
| Find all providers in zip 19056 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020549 | Marvin A Moreno | Licensed Practical Nurse | 15 Flock Ln, Levittown, NY 11756-4114 | 2019-12-12 |
| 1518503226 | Elizabeth J Durkin | Licensed Practical Nurse | 42 Griddle Ln, Levittown, NY 11756-4928 | 2019-11-18 |
| 1275025058 | Samantha Letts Taylor | Licensed Practical Nurse | 82 Longfellow Ave, Levittown, NY 11756-5710 | 2018-06-06 |
| 1730572132 | Kim Marie Duswalt | Licensed Practical Nurse | 49 Sunrise Ln, Levittown, NY 11756-4467 | 2015-03-09 |
| 1972903516 | Mark Cosico | Licensed Practical Nurse | 78 Sprucewood Dr, Levittown, NY 11756-3814 | 2014-09-02 |
| 1952646432 | Melissa Nicole Medina | Licensed Practical Nurse | 39 Collector Ln, Levittown, NY 11756-5234 | 2012-12-10 |
| 1932458577 | Tevinder Kaur | Licensed Practical Nurse | 89 Prentice Road, Levittown, NY 11756 | 2012-08-29 |
| 1538485453 | Karen Kraus | Licensed Practical Nurse | 419 Coleridge St, Levittown, NY 11756-5629 | 2010-04-16 |
| 1508191008 | Anastasia Joy Gerver | Licensed Practical Nurse | 33 Oaktree Ln, Levittown, NY 11756-1520 | 2009-10-16 |
| 1346487501 | Debbie Lorena Vargas | Licensed Practical Nurse | 168 Sprucewood Dr, Levittown, NY 11756-3838 | 2009-01-09 |
| Find all providers in LEVITTOWN | ||||
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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.