TISHAUNA DOUGLAS
NPI 1457957235
Case Manager/Care Coordinator in Hopkinsville, KY

Q: What is Tishauna Douglas's NPI number?

The NPI number for Tishauna Douglas is 1457957235. It was assigned to this individual provider in the NPPES registry on December 8, 2020.

Q: What is Tishauna Douglas's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Tishauna Douglas was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 08, 2020

3999 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240(270) 886-2205(270) 886-0392 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tishauna Douglas NPPES

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

TISHAUNA DOUGLAS (NPI 1457957235) is an individual case manager/care coordinator provider in Hopkinsville, Kentucky and active in the NPI registry since December 2020. She maintains a secondary practice location in Hopkinsville.

NPPES Registry Identity

NPI1457957235

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameTISHAUNA DOUGLAS

Location Address3999 FORT CAMPBELL BLVDHopkinsville, KY 42240-4929

Mailing AddressPo Box 614Hopkinsville, KY 42241-0614 · (270) 886-2205 · Fax (270) 886-0392

Phone(270) 886-2205

Fax(270) 886-0392

Sole ProprietorNo

Enumeration DateDecember 8, 2020

NPPES CertifiedDecember 8, 2020

✔ NPI 1457957235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

3999 FORT CAMPBELL BLVD, Hopkinsville, KY 42240

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Secondary Practice Location 1

Location 1400 Hammond PlzHopkinsville, KY 42240-4969 · Phone (270) 886-5186 · Fax (270) 886-0393

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.

QUARANETTA PATRICK

Case Manager/Care Coordinator