Marjorie E. Douglas, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1010006857 Issued in VT

Practice address

527 Ferry Rd
Charlotte, VT 05445-9555

Phone

(802) 425-2781

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charlotte Family Health Center Inc

  • Primary Care Clinic/Center
  • Charlotte, VT
  • NPI 1093761835
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003840968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054450038",
            "telephone_number": "802-425-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 FERRY RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459555",
            "telephone_number": "802-425-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "MARJORIE",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "1010006857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard H. Bernstein, M.D.
• Carter Branley, LCMHC
• Carter Branley Counseling & Wellness, LLC
• Charlotte Family Health Center Inc
• Charlotte Volunteer Fire and Rescue Services Incorporated
• Marie Judith Lucie Eruimy-Kiley, C.P.M.,L.M.
• Darcy Nora Faibish, NP
• David Garbose, SLP, ATP
• Good Seed Nutrition LLC
• Myra Handy, LICSW

• Family Nurse Practitioner in Charlotte, VT
• Providers in Charlotte, VT by specialty
• Family Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.