1. Home
  2. Directory
  3. Pennsylvania
  4. Levittown
  5. Licensed Practical Nurse
  6. NPI Profile

MRS. OCTAVIA DOUGLAS
NPI 1376161059
Licensed Practical Nurse in Levittown, PA

Active since July 09, 2020
70 HIGHLAND PARK DR, LEVITTOWN, PA 19056(908) 954-8942 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Octavia Douglas NPPES

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

MRS. OCTAVIA DOUGLAS (NPI 1376161059) is an individual licensed practical nurse in Levittown, Pennsylvania, licensed in Pennsylvania (PN309164) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1376161059
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. OCTAVIA DOUGLAS
Location Address70 HIGHLAND PARK DRLevittown, PA 19056-1338
Mailing Address70 Highland Park DrLevittown, PA 19056-1338 · (908) 954-8942
Phone(908) 954-8942
Sole ProprietorYes
Enumeration DateJuly 9, 2020
NPPES CertifiedJuly 9, 2020
✔ NPI 1376161059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in PA · PN309164
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
70 HIGHLAND PARK DR, Levittown, PA 19056
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Octavia Douglas's NPI number?

The NPI number for Octavia Douglas is 1376161059. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Octavia Douglas located?

Octavia Douglas practices at 70 Highland Park Dr, Levittown, PA 19056. The listed phone number is (908) 954-8942.

What is Octavia Douglas's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Octavia Douglas was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.