KACEY LEE DOUGLAS


Address: 445 W Michigan Ave, Kalamazoo, MI 49007-3750
Phone: 2694885460

KACEY LEE DOUGLAS (NPI# 1518460310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518460310
Entity Type Individual
Full Name KACEY LEE DOUGLAS
Credential NP
Practice Address 445 W Michigan Ave
Kalamazoo
MI 49007-3750
Mailing Address 2132 S Burdick St
Kalamazoo
MI 49001-6125
Practice Telephone 2694885460
Mailing Telephone 8438170374
Enumeration Date 2018-03-18
Last Update Date 2018-03-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704302741 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 445 W MICHIGAN AVE
City KALAMAZOO
State MI
Zip Code 49007-3750

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780725176 Alexandra Anne Chapa Social Worker 445 W Michigan Ave, Kalamazoo, MI 49007-3750 2007-02-09
1700357803 Amanda Pentland Nurse Practitioner 445 W Michigan Ave, Kalamazoo, MI 49007-3750 2018-12-16
1114426079 Malory Roys Occupational Therapist 445 W Michigan Ave, Kalamazoo, MI 49007-3750 2018-02-06
1245482066 Christina Marie Worgess Nurse Practitioner 445 W Michigan Ave, Kalamazoo, MI 49007-3750 2008-10-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881248342 Whitney Kiel Pharmacist 601 John Street Suite M-020, Kalamazoo, MI 49007 2019-08-01
1316591571 Laura Jedele Physical Therapist Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 2019-07-26
1992209084 Yvonne Marie Heltzel Behavior Technician 1826 N Rose St, Kalamazoo, MI 49007 2018-03-22
1396263943 Travis Todd Turrell Physician Assistant 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 2017-09-05
1619493186 Sarah Zuspann Nurse Practitioner 601 John Street, Suite 100, Kalamazoo, MI 49007 2017-08-16
1720529779 Dannison Psychologist 604 S Rose St, Kalamazoo, MI 49007 2017-03-10
1265988901 Calee Dieleman Social Worker 610 South Burdick, Kalamazoo, MI 49007 2016-09-01
1508313099 Arriel Julia Ampey Social Worker 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 2016-09-01
1043662745 Holloway Marston Psychologist 717 W South St, Apt. #6, Kalamazoo, MI 49007 2016-07-06
1205280062 Bronson At Home Home Health 601 John St Ste M-431, Kalamazoo, MI 49007 2016-04-19
Find all providers in zip 49007

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457913725 Erika Lynn Sullenberger Nurse Practitioner 601 John St Ste M-273, Kalamazoo, MI 49007-5360 2019-07-08
1104318369 Marathon Health LLC Nurse Practitioner 3520 Covington Rd, Kalamazoo, MI 49001 2018-06-04
1619493186 Sarah Zuspann Nurse Practitioner 601 John Street, Suite 100, Kalamazoo, MI 49007 2017-08-16
1750810495 Charmaine Kwei Nurse Practitioner 3601 S 9th St Rm 6, Kalamazoo, MI 49009-9538 2017-06-07
1558646976 Kimberly Ann Applebey Nurse Practitioner 601 John St Ste M-318, Kalamazoo, MI 49007 2011-10-17
1154639748 Deborah R Lee Nurse Practitioner 1521 Gull Rd Ste 130, Kalamazoo, MI 49048-1640 2010-09-17
1346495355 Lisa C Bury Nurse Practitioner 535 S Burdick St Ste 160, Kalamazoo, MI 49007-6113 2008-11-19
1073620720 Susan Nelson Nurse Practitioner 1701 Gull Rd, Kalamazoo, MI 49048-1609 2006-08-25
1295757623 Catherine Mae Williams Nurse Practitioner 348 N Burdick St, Kalamazoo, MI 49007-3830 2006-07-24
1972532463 Pamela S Miller Nurse Practitioner 353 South Burdick, Suite 256, Kalamazoo, MI 49007-5341 2006-06-30
Find all providers in KALAMAZOO

Competitor

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City KALAMAZOO
Zip Code 49007

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Dataset Information

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.

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