NATASHA NEELUM DOUGLASS FNP
NPI 1093379752
Nurse Practitioner - Family in Modesto, CA

Active since April 29, 2019
1114 6TH ST, MODESTO, CA 95354(209) 576-2845(209) 576-8842 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Natasha Neelum Douglass Fnp NPPES

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

NATASHA NEELUM DOUGLASS FNP (NPI 1093379752) is an individual family provider in Modesto, California, licensed in California (95011294) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1093379752
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNATASHA NEELUM DOUGLASSCredential: FNP
Location Address1114 6TH STModesto, CA 95354-2203
Mailing Address1910 Customer Care WayAtwater, CA 95301-5167 · (209) 384-6493 · Fax (855) 202-9336
Fax(209) 576-8842
Sole ProprietorNo
Enumeration DateApril 29, 2019
NPI 1093379752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95011294
Also ListedRegistered NurseTaxonomy 163W00000X · License 843499 (CA)
1114 6TH ST, Modesto, CA 95354

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.

Physician Assistant (Medical)
1114 6TH ST
MODESTO, CA 95354
Nurse Practitioner
1114 6TH ST
MODESTO, CA 95354
Nurse Practitioner (Family)
1114 6TH ST
MODESTO, CA 95354
Social Worker (Clinical)
1114 6TH ST
MODESTO, CA 95354
Obstetrics & Gynecology
1114 6TH ST
MODESTO, CA 95354
Social Worker (Clinical)
1114 6TH ST
MODESTO, CA 95354
Physician Assistant (Medical)
1114 6TH ST
MODESTO, CA 95354
Nurse Practitioner
1114 6TH ST
MODESTO, CA 95354

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 Natasha Douglass's NPI number?

The NPI number for Natasha Douglass is 1093379752. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Natasha Douglass located?

Natasha Douglass practices at 1114 6th St, Modesto, CA 95354. The listed phone number is (209) 576-2845.

What is Natasha Douglass'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 Natasha Douglass was last updated on April 29, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.