CORTNEY D DOUGLAS (NPI# 1568708139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568708139 |
| Entity Type | Individual |
| Full Name | CORTNEY D DOUGLAS |
| Practice Address |
8203 Nw 31st Ave Apt E29 Gainesville FL 32606 |
| Mailing Address |
8203 Nw 31st Ave Apt E29 Gainesville FL 32606-6220 |
| Practice Telephone | 3528701268 |
| Mailing Telephone | 3528701268 |
| Enumeration Date | 2012-12-29 |
| Last Update Date | 2018-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | 008397800 | FL | Nursing Service Related Providers |
| N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
008397800 | FL | Respite Care Facility |
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
008397800 | FL | Respite Care Facility |
| N | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
008397800 | FL | Respite Care Facility |
| N | 172V00000X | Community Health Worker | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 008397800 | 05 |
| Street Address |
8203 NW 31ST AVE APT E29 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652389 | Michael James Watkins | Massage Therapist | 6418 Nw 39th Ave, Gainesville, FL 32606 | 2020-09-06 |
| 1073134813 | Sun View Counseling LLC | Counselor | 3550 Nw 87 Ter., Gainesville, FL 32606 | 2020-05-04 |
| 1588283568 | Jeena Kar | Student in an Organized Health Care Education/Training Program | Uf Psychiatry Residency Training, 4101 Nw 89th Boulevard, Rm 1796, Gainesville, FL 32606 | 2020-04-10 |
| 1467917864 | Marquetta Lee | Social Worker | 2772 Nw 43rd St, Ste C, Gainesville, FL 32606 | 2019-02-10 |
| 1376025742 | Jacob Sanow | Student in an Organized Health Care Education/Training Program | 5200 Nw 43rd St Unit 401, Gainesville, FL 32606 | 2018-09-03 |
| 1750878393 | Taylor Brown | Occupational Therapist | 3850 Nw 83rd St # 201, Gainesville, FL 32606 | 2018-04-19 |
| 1568914471 | Bernard Mitchll | Behavior Technician | 3515 Nw 60th Terrace, Gainesville, FL 32606 | 2016-10-26 |
| 1760839534 | Nancy Christiana Collins | Counselor | 4907 Nw 43rd St C., Gainesville, FL 32606 | 2016-05-20 |
| 1730553140 | Dawn Johnson O'byrne | Counselor | 4041 Nw 37th Place, Suite A, Gainesville, FL 32606 | 2015-11-23 |
| 1225424815 | Dianne Voitle | Acupuncturist | 2727b N.w. 43rd St. Suite 8, Gainesville, FL 32606 | 2015-04-09 |
| Find all providers in zip 32606 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898842 | Hearts&hands Care Agency Inc | Respite Care | 1567 Nw 29th Rd Apt 3, Gainesville, FL 32605-3066 | 2020-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719604 | Kimberly D Dawkins | Respite Care | 742 Starland St Se, Palm Bay, FL 32909-4453 | 2020-10-31 |
| 1538776695 | Charismatic Relentless Care LLC | Respite Care | 5933 Nw Brenda Cir, Port Saint Lucie, FL 34986-3637 | 2020-09-23 |
| 1114545035 | Careplus Services, Inc | Respite Care | 10005 Sw 91st Ter, Miami, FL 33176-1707 | 2020-07-07 |
| 1821615022 | Leon Advocacy and Resource Center, Inc. | Respite Care | 1949 Commonwealth Ln, Tallahassee, FL 32303-3196 | 2020-07-03 |
| 1861054801 | Jay Sweatt | Respite Care | 4280 70th Ave N, Pinellas Park, FL 33781-4549 | 2019-06-29 |
| 1114581907 | Kaidra Quantai Thonpkins | Respite Care | 118 Thistle Trl, Hawthonre, FL 32604 | 2019-04-26 |
| 1982160511 | Germitha Hora | Respite Care | 6460 Nw 28th St, Sunrise, FL 33313-1102 | 2019-02-19 |
| 1790258887 | Unlimited Healthcare Provider Inc | Respite Care | 2101 Vista Pkwy Ste 278, West Palm Beach, FL 33411-2706 | 2019-01-10 |
| 1891260832 | S & K's Home Health Inc | Respite Care | 4487 Sw 49th Ave, Ocala, FL 34474-9683 | 2018-10-05 |
| 1922581107 | Shereta Shunta Ward | Respite Care | 2036 Mercy Dr Apt 102, Orlando, FL 32808-5645 | 2018-09-13 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32606 |
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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.