KIMBERLY DOUGLASS
NPI 1962924340
Rehabilitation Practitioner in Fairfield, CA
NPI Status: Active since July 07, 2017
Contact Information
2101 COURAGE DRIVE
MS 10-300
FAIRFIELD, CA
ZIP 94533
Phone: (707) 784-2033
Fax: (707) 425-4014
- Individual
- Female
- Rehabilitation Practitioner
About KIMBERLY DOUGLASS
This page provides the complete NPI Profile along with additional information for Kimberly Douglass, a provider established in Fairfield, California with a medical specialization in Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1962924340 assigned on July 2017. The practitioner's primary taxonomy code is 225400000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1962924340
- Provider Name
- KIMBERLY DOUGLASS
- Other Name
- KIMBERLY LYNN DOUGLASS
- Other Name Type
- Professional Name (2)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2101 COURAGE DRIVE MS 10-300 FAIRFIELD, CA 94533
- Location Phone
- (707) 784-2033
- Location Fax
- (707) 425-4014
- Mailing Address
- 2101 COURAGE DR # MS 10-300 FAIRFIELD, CA 94533
- Mailing Phone
- (707) 784-2033
- Mailing Fax
- (707) 425-4014
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-07-2017
- Last Update Date
- 07-14-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Practitioner
- Taxonomy Code
- 225400000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 3 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | (CA) |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1962924340, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
FAIRFIELD, CA 94533
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962924340, enumerated as an "individual" on July 07, 2017.
The provider is located at 2101 COURAGE DRIVE MS 10-300 FAIRFIELD, CA 94533 and the phone number is (707) 784-2033.
Rehabilitation Practitioner with taxonomy code 225400000X.
