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KIMBERLY DESHAY DOUGLAS MA, MBC
NPI 1144978040
Nurse's Aide in Houston, TX

Active since March 10, 2022
6430 COURT RD BLDG A, HOUSTON, TX 77053(325) 391-4168 Get Directions Write a Review

NPPES record last updated: April 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2024, Mar 10, 2022 (2 updates tracked since 2022).

About Kimberly Deshay Douglas Ma, Mbc NPPES

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

KIMBERLY DESHAY DOUGLAS MA, MBC (NPI 1144978040) is an individual nurse's aide in Houston, Texas and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1144978040
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameKIMBERLY DESHAY DOUGLASCredential: MA, MBC
Location Address6430 COURT RD BLDG AHouston, TX 77053-4462
Mailing Address4904 Ripple Creek DrBaytown, TX 77521-1913 · (832) 427-8425
Phone(325) 391-4168
Sole ProprietorYes
Enumeration DateMarch 10, 2022
Last NPPES UpdateApril 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2023
✔ NPI 1144978040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase ManagementTaxonomy 251B00000X
6430 COURT RD BLDG A, Houston, TX 77053
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Other Providers at the Same Location NPPES 2

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

GROW BEHAVIORAL CONCEPTS LLC.
Clinic/Center (Multi-Specialty)
6430 COURT RD BLDG A
HOUSTON, TX 77053
Harris County (832) 530-2297
ROBIN GAYLE DOUGLAS VSD, JST
Case Manager/Care Coordinator
6430 COURT RD BLDG A
HOUSTON, TX 77053
Harris County (281) 248-6109

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 Kimberly Douglas's NPI number?

The NPI number for Kimberly Douglas is 1144978040. It was assigned to this individual provider in the NPPES registry on March 10, 2022.

Where is Kimberly Douglas located?

Kimberly Douglas practices at 6430 Court Rd Bldg A, Houston, TX 77053. The listed phone number is (325) 391-4168.

What is Kimberly Douglas's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Douglas was last updated on April 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.