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KAITLYN DOUGLAS CRNA
NPI 1033074521
Student in an Organized Health Care Education/Training Program in Ephrata, PA

Active since December 17, 2025
169 MARTIN AVE, EPHRATA, PA 17522(717) 733-0311 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2026, Dec 17, 2025 (2 updates tracked since 2025).

About Kaitlyn Douglas Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN DOUGLAS CRNA (NPI 1033074521) is an individual student in an organized health care education/training program in Ephrata, Pennsylvania, licensed in Pennsylvania (732545) and active in the NPI registry since December 2025. She maintains 12 additional practice locations and is a graduate of Other (2026).

NPPES Registry Identity

NPI1033074521
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAITLYN DOUGLASCredential: CRNA
Location Address169 MARTIN AVEEphrata, PA 17522-1734
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 733-0311
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateDecember 17, 2025
Last NPPES UpdateMarch 20, 20262 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1033074521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · 732545
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License RN732545 (PA)
169 MARTIN AVE, Ephrata, PA 17522
Open in Google Maps ↗

Secondary Practice Locations 12

Location 125 Monument Rd Ste 270York, PA 17403-5073 · Phone (717) 741-8250
Location 21001 S George StYork, PA 17403-3676 · Phone (717) 812-7687
Location 3252 S 4th StLebanon, PA 17042-6111 · Phone (717) 270-7500
Location 4501 E Main StWaynesboro, PA 17268-2353 · Phone (717) 765-3425
Location 590 Medical Park Dr Ste 2000Lewisburg, PA 17837-6343 · Phone (570) 524-2722
Location 612 St Paul Dr Ste 100Chambersburg, PA 17201-1035 · Phone (717) 217-6072
Location 71 Hospital DrLewisburg, PA 17837-9350 · Phone (570) 522-2000
Location 835 Erick RdLancaster, PA 17601-3111 · Phone (717) 690-0811
Location 9835 5th AveChambersburg, PA 17201-4220 · Phone (717) 217-4312 · Fax (717) 217-4314
Location 10112 N 7th StChambersburg, PA 17201-1720 · Phone (717) 267-7164 · Fax (717) 267-7414
Location 1155 Monument RdYork, PA 17403-5023 · Phone (717) 812-6425
Location 124150 Barrett Blvd Ste 100Ephrata, PA 17522-8979 · Phone (717) 859-5160

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Douglas Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729558242
PECOS Enrollment IDI20260526003648

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAKESH BARAK M.D.
Radiology (Diagnostic Radiology)
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 738-6414
JAYME N OBERHOLTZER CRNA
Nurse Anesthetist, Certified Registered
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 738-6618
USMAN ZULFIQAR M.D.
Hospitalist
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 721-4740
ALYSSA MARIE DENNEY CF-SLP
Speech-Language Pathologist
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 733-0311
MICHAEL STENGEL M.D.
Emergency Medicine
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 738-6420
PAVLIK TELEGUZ CRNP
Nurse Practitioner (Family)
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 721-4740
JOHN SHAND MD
Psychiatry & Neurology (Psychiatry)
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 733-0311
ELAINE L GOLDHAMMER MD
Hospitalist
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 721-4740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Douglas's NPI number?

The NPI number for Kaitlyn Douglas is 1033074521. It was assigned to this individual provider in the NPPES registry on December 17, 2025.

Where is Kaitlyn Douglas located?

Kaitlyn Douglas practices at 169 Martin Ave, Ephrata, PA 17522. The listed phone number is (717) 733-0311.

What is Kaitlyn Douglas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kaitlyn Douglas enrolled in Medicare?

Yes. Kaitlyn Douglas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlyn Douglas was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.