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KIMBERLY DOUGLASS
NPI 1962924340
Rehabilitation Practitioner in Fairfield, CA

Active since July 07, 2017
2101 COURAGE DRIVE, MS 10-300, FAIRFIELD, CA 94533(707) 784-2033(707) 425-4014 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, May 25, 2023, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

About Kimberly Douglass NPPES

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

KIMBERLY DOUGLASS (NPI 1962924340) is an individual rehabilitation practitioner in Fairfield, California and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1962924340
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameKIMBERLY DOUGLASS
Location Address2101 COURAGE DRIVE, MS 10-300Fairfield, CA 94533
Mailing Address2101 Courage Dr # Ms 10-300Fairfield, CA 94533-6717 · (707) 784-2033 · Fax (707) 425-4014
Phone(707) 784-2033
Fax(707) 425-4014
Sole ProprietorNo
Enumeration DateJuly 7, 2017
Last NPPES UpdateJuly 14, 20255 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1962924340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2101 COURAGE DRIVE, Fairfield, CA 94533
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Other Names 1

Professional Name (2)Kimberly Lynn Douglass

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KIERAN PATRICK BECKET RN
Registered Nurse (Psychiatric/Mental Health)
2101 COURAGE DRIVE
FAIRFIELD, CA 94533
Solano County (180) 065-6467
MA WYNONA LEYVA
Licensed Psychiatric Technician
2101 COURAGE DRIVE
FAIRFIELD, CA 94533
Solano County (707) 428-1131
HIMILCE DEL CARMEN ROVIROSA DDS
Dentist
2101 COURAGE DRIVE
FAIRFIELD, CA 94533
Solano County (707) 784-2120
MS. BRIDGET LYNN BERG
Counselor (Mental Health)
2101 COURAGE DRIVE
FAIRFIELD, CA 94533
Solano County (707) 784-4900

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 Kimberly Douglass's NPI number?

The NPI number for Kimberly Douglass is 1962924340. It was assigned to this individual provider in the NPPES registry on July 7, 2017. The provider is also known as Kimberly Lynn Douglass.

Where is Kimberly Douglass located?

Kimberly Douglass practices at 2101 Courage Drive Ms 10-300, Fairfield, CA 94533. The listed phone number is (707) 784-2033.

What is Kimberly Douglass's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Kimberly Douglass was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.