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HEATHER LYNN DOUGLAS LCSW-C, RN
NPI 1316623887
Registered Nurse in Washington, DC

Active since June 27, 2023PECOS Enrolled
1418 MARION BARRY AVE SE, WASHINGTON, DC 20020(202) 796-5000 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2024, Jun 11, 2024 (2 updates tracked since 2024).

About Heather Lynn Douglas Lcsw-c, Rn NPPES

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

HEATHER LYNN DOUGLAS LCSW-C, RN (NPI 1316623887) is an individual registered nurse in Washington, District Of Columbia, licensed in District Of Columbia (RN500004103) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1316623887
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameHEATHER LYNN DOUGLASCredential: LCSW-C, RN
Location Address1418 MARION BARRY AVE SEWashington, DC 20020-5615
Mailing AddressPo Box 102904Pasadena, CA 91189-0140 · (810) 643-1418
Phone(202) 796-5000
Sole ProprietorNo
Enumeration DateJune 27, 2023
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1316623887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in DC · RN500004103
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 21007 (MD), LC200002117 (DC)
1418 MARION BARRY AVE SE, Washington, DC 20020
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Secondary Practice Location 1

Location 112 W Montgomery St Ste 107Baltimore, MD 21230-4490 · Phone (810) 643-1418

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Lynn Douglas Lcsw-c, Rn 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.

MS. GAIL TAYLOR M.A.
Case Manager/Care Coordinator
1418 MARION BARRY AVE SE
WASHINGTON, DC 20020
District of Columbia (202) 796-5000
DEMETRIUS MCMILLAN
Case Manager/Care Coordinator
1418 MARION BARRY AVE SE
WASHINGTON, DC 20020
District of Columbia (202) 288-8100
TRACY COLES
Case Manager/Care Coordinator
1418 MARION BARRY AVE SE
WASHINGTON, DC 20020
District of Columbia (202) 796-5000
JOSEPH AGIM
Case Manager/Care Coordinator
1418 MARION BARRY AVE SE
WASHINGTON, DC 20020
District of Columbia (202) 890-9972
BRYAN SIMMS
Case Manager/Care Coordinator
1418 MARION BARRY AVE SE
WASHINGTON, DC 20020
District of Columbia (202) 890-9972
SHEKINAH STEELE
Case Manager/Care Coordinator
1418 MARION BARRY AVE SE
WASHINGTON, DC 20020
District of Columbia (202) 796-5000
ANGELA LASHANETTE DUDLEY
Social Worker
1418 MARION BARRY AVE SE
WASHINGTON, DC 20020
District of Columbia (202) 796-5000
TYJUAN MCCORMICK
Case Manager/Care Coordinator
1418 MARION BARRY AVE SE
WASHINGTON, DC 20020
District of Columbia (202) 704-6357

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 Heather Douglas's NPI number?

The NPI number for Heather Douglas is 1316623887. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Heather Douglas located?

Heather Douglas practices at 1418 Marion Barry Ave SE, Washington, DC 20020. The listed phone number is (202) 796-5000.

What is Heather Douglas's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Heather Douglas enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Heather Douglas was last updated on June 25, 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.