NORA DOUGLAS
NPI 1083233399
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since April 16, 2020PECOS Enrolled
300 CRITTENDEN BLVD, ROCHESTER, NY 14642(585) 275-6917 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nora Douglas NPPES

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

NORA DOUGLAS (NPI 1083233399) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083233399
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNORA DOUGLAS
Location Address300 CRITTENDEN BLVDRochester, NY 14642-0001
Mailing Address135 Rutledge DrRochester, NY 14621-1047 · (585) 943-7302
Sole ProprietorNo
Enumeration DateApril 16, 2020
NPPES CertifiedApril 16, 2020
NPI 1083233399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.

300 CRITTENDEN BLVD, Rochester, NY 14642

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Psychologist
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Psychologist
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Psychologist (Clinical Child & Adolescent)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Psychologist (Clinical)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Psychiatry & Neurology (Child & Adolescent Psychiatry)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Nurse Practitioner
300 CRITTENDEN BLVD
ROCHESTER, NY 14642

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 Nora Douglas's NPI number?

The NPI number for Nora Douglas is 1083233399. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Nora Douglas located?

Nora Douglas practices at 300 Crittenden Blvd, Rochester, NY 14642. The listed phone number is (585) 275-6917.

What is Nora 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 Nora Douglas enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nora Douglas was last updated on April 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.