MRS. KRISTIN THERESE DOUGLAS ARNP
NPI 1093210916
Nurse Practitioner - Family in Hollywood, FL

Q: What is Kristin Douglas's NPI number?

The NPI number for Kristin Douglas is 1093210916. It was assigned to this individual provider in the NPPES registry on March 25, 2018.

Q: What is Kristin Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Douglas was last updated on March 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 25, 2018

4108 W PARK RD, HOLLYWOOD, FL 33021(954) 830-6154 Get Directions Write a Review

NPPES record last updated: March 25, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Kristin Therese Douglas Arnp NPPES

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

MRS. KRISTIN THERESE DOUGLAS ARNP (NPI 1093210916) is an individual family provider in Hollywood, Florida, licensed in Florida (ARNP9304524) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1093210916

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KRISTIN THERESE DOUGLASCredential: ARNP

Location Address4108 W PARK RDHollywood, FL 33021-4244

Mailing Address4108 W Park RdHollywood, FL 33021-4244 · (954) 830-6154

Phone(954) 830-6154

Sole ProprietorNo

Enumeration DateMarch 25, 2018

✔ NPI 1093210916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP9304524

4108 W PARK RD, Hollywood, FL 33021

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Other Providers at the Same Location NPPES

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

NICHOLAS DOUGLAS

Nurse Anesthetist, Certified Registered

4108 W PARK RD
HOLLYWOOD, FL 33021

Broward County (754) 214-4432

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 Kristin Douglas's NPI number?

The NPI number for Kristin Douglas is 1093210916. It was assigned to this individual provider in the NPPES registry on March 25, 2018.

Where is Kristin Douglas located?

Kristin Douglas practices at 4108 W Park Rd, Hollywood, FL 33021. The listed phone number is (954) 830-6154.

What is Kristin Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kristin Douglas was last updated on March 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.