DEBORAH JOY DOUGLAS RD, LDN
NPI 1265137632
Dietitian, Registered - Nutrition, Metabolic in Hershey, PA

Active since April 04, 2023Accepts Medicare Assignment
121 TOWNE SQUARE DR STE 303, HERSHEY, PA 17033(717) 909-0290 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 9, 2023, Nov 2, 2023, Apr 4, 2023 (3 updates tracked since 2023).

About Deborah Joy Douglas Rd, Ldn NPPES

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

DEBORAH JOY DOUGLAS RD, LDN (NPI 1265137632) is an individual nutrition, metabolic provider in Hershey, Pennsylvania, licensed in Pennsylvania (DN007210) and active in the NPI registry since April 2023. She maintains 2 additional practice locations and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265137632
Entity TypeIndividualFemale
Primary Taxonomy133VN1006X
Provider Legal NameDEBORAH JOY DOUGLASCredential: RD, LDN
Location Address121 TOWNE SQUARE DR STE 303Hershey, PA 17033-9440
Mailing Address121 Towne Square Dr Ste 303Hershey, PA 17033-9440
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 4, 2023
Last NPPES UpdateNovember 9, 20233 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1265137632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License✔ Licensed in PA · DN007210
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
Also ListedDietitian, Registered · Nutrition, Obesity and Weight ManagementTaxonomy 133VN1201X · License DN007210 (PA)
121 TOWNE SQUARE DR STE 303, Hershey, PA 17033

Secondary Practice Locations 2

Location 11186 Walnut Bottom Rd Ste 10Carlisle, PA 17015-9578 · Phone (717) 988-8200
Location 24315 Londonderry RdHarrisburg, PA 17109-5318 · Phone (717) 909-0290

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deborah Joy Douglas Rd, Ldn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830554294
PECOS Enrollment IDI20230508002584

Medicare Billing Reassignment

Medicare enrollment records show Deborah Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
120 S TAN ALY STE 1
Fredericksburg, PA 17026
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Adult Health)
121 TOWNE SQUARE DR STE 303
HERSHEY, PA 17033
Internal Medicine (Rheumatology)
121 TOWNE SQUARE DR STE 303
HERSHEY, PA 17033
Physician Assistant (Medical)
121 TOWNE SQUARE DR STE 303
HERSHEY, PA 17033

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 Deborah Douglas's NPI number?

The NPI number for Deborah Douglas is 1265137632. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Deborah Douglas located?

Deborah Douglas practices at 121 Towne Square Dr Ste 303, Hershey, PA 17033. The listed phone number is (717) 909-0290.

What is Deborah Douglas's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

Is Deborah Douglas enrolled in Medicare?

Yes. Deborah Douglas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Deborah Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Douglas reassigns Medicare benefits to Pinnacle Health Medical Services (Fredericksburg, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deborah Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Deborah Douglas was last updated on November 9, 2023. 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.