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MS. TESHANEE DARA DOUGLAS LPN
NPI 1629647920
Licensed Practical Nurse in New York, NY

Active since June 21, 2021
121-123 WEST 111TH STREET, NEW YORK, NY 10026(212) 678-4990 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Teshanee Dara Douglas Lpn NPPES

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

MS. TESHANEE DARA DOUGLAS LPN (NPI 1629647920) is an individual licensed practical nurse in New York, New York, licensed in New York (280133-1) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1629647920
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. TESHANEE DARA DOUGLASCredential: LPN
Location Address121-123 WEST 111TH STREETNew York, NY 10026
Mailing Address760 E 160th St Fl 2Bronx, NY 10456-7898 · (315) 294-4159
Phone(212) 678-4990
Sole ProprietorNo
Enumeration DateJune 21, 2021
NPPES CertifiedJune 3, 2021
✔ NPI 1629647920 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 NY · 280133-1
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.

121-123 WEST 111TH STREET, New York, NY 10026
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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.

JUDITH ELAINE ROPER
Licensed Practical Nurse
121-123 WEST 111TH STREET
NY, NY 10026
New York County (212) 678-4990
LATOYA ANGELINA SOLOMON-RAMOON
Social Worker
121-123 WEST 111TH STREET
NY, NY 10026
New York County (212) 678-4990
CREATE, INC.
Substance Abuse Rehabilitation Facility
121-123 WEST 111TH STREET
NEW YORK, NY 10026
New York County (212) 678-4990

Frequently Asked Questions

What is Teshanee Douglas's NPI number?

The NPI number assigned to this healthcare provider is 1629647920, enumerated as an "individual" on June 21, 2021.

Where is the provider located?

The provider is located at 121-123 WEST 111TH STREET NEW YORK, NY 10026 and the phone number is (212) 678-4990.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.