Erin Frances Douglas

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2017000972 Issued in MO

Practice address

2808 S Picher Ave
Joplin, MO 64804-1645

Phone

(417) 347-7850

NPI assigned

Aug 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Erin F Glore Former name

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.

• Outreach Occupational Therapy LLC

  • Rehabilitation Practitioner
  • Joplin, MO
  • NPI 1740916451

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1023599859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2526",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032526",
            "telephone_number": "417-347-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 S PICHER AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041645",
            "telephone_number": "417-347-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "ERIN",
        "middle_name": "FRANCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2017000972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "GLORE",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donna Jeanne Erisman (New Life)
• Dian Lea Doody, M.D.
• Amanda Christie Dorvelus
• Lamin Ramos Dos Santos, MD
• Aubrey Doss
• Shelby L Douglas
• Donovan Kayne Dowell, PHARMD
• Shelby Dowell
• Christian E Dowling
• Charles Glenn Doyle, PSY.D.

• Occupational Therapist in Joplin, MO
• Providers in Joplin, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.