KELLIE ANN DOUGLAS CPNP-PC
NPI 1063840171
Nurse Practitioner - Pediatrics in Denver, CO

Active since October 29, 2013
4545 E 9TH AVE STE 260, DENVER, CO 80220(303) 320-7366 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2022, Sep 15, 2021, Apr 14, 2021 and 3 more (6 updates tracked since 2017).

About Kellie Ann Douglas Cpnp-pc NPPES

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

KELLIE ANN DOUGLAS CPNP-PC (NPI 1063840171) is an individual pediatrics provider in Denver, Colorado, licensed in North Carolina (5007234) and active in the NPI registry since October 2013. She maintains a secondary practice location in Highlands Ranch.

NPPES Registry Identity

NPI1063840171
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELLIE ANN DOUGLASCredential: CPNP-PC
Location Address4545 E 9TH AVE STE 260Denver, CO 80220
Mailing Address1805 Shea Center Dr Ste 301Highlands Ranch, CO 80129-2251 · (303) 320-7366
Sole ProprietorNo
Enumeration DateOctober 29, 2013
Last NPPES UpdateJuly 22, 20226 updates tracked since enumeration
NPPES CertifiedJuly 22, 2022
NPI 1063840171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in NC · 5007234
4545 E 9TH AVE STE 260, Denver, CO 80220

Secondary Practice Location 1

Location 19137 Ridgeline Blvd Ste 130Highlands Ranch, CO 80129-2394 · Phone (303) 471-0221

Other Identifiers 1

Other993170CO · Nurse Practitioner - Apn License

Other Providers at the Same Location NPPES

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

Pediatrics
4545 E 9TH AVE STE 260
DENVER, CO 80220

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 Kellie Douglas's NPI number?

The NPI number for Kellie Douglas is 1063840171. It was assigned to this individual provider in the NPPES registry on October 29, 2013.

Where is Kellie Douglas located?

Kellie Douglas practices at 4545 E 9th Ave Ste 260, Denver, CO 80220. The listed phone number is (303) 320-7366.

What is Kellie Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kellie Douglas was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.