Active NPI
Natalie Elaine Douglas, CRNP
- Family Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F356985-01
- Practice address
- 2640 Pitkin Ave
Brooklyn, NY 11208-2763 - Phone
- (718) 277-0386
- NPI assigned
- Aug 1, 2023
- Last updated
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F356985-01 | NY | Primary |
Addresses
Primary practice location
2640 Pitkin Ave
Brooklyn, NY 11208-2763
Mailing address
2640 Pitkin Ave
Brooklyn, NY 11208-2763
Phone (718) 277-0386
Other practice location 1
5000 Woodland Ave
Philadelphia, PA 19143-5137
Phone (215) 724-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Greater Philadelphia Health Action Inc
Practice addresses (Care Compare)
1999 W Hunting Park Ave
Philadelphia, PA 19140-2828
Phone (215) 228-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F356985-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Housing Works Health Services III, Inc. | Current | Accepting new patients | |
| Greater Philadelphia Health Action Inc. | Current | Accepting new patients | |
| Greater Philadelphia Health Action, Inc. | Current | Accepting new patients | |
| Housing Works Health Services III, Inc. | Current | Accepting new patients |
Locations
57 Willoughby St
Brooklyn, NY 11201
Phone (718) 408-6522
1401 S 31st St
Philadelphia, PA 19146
Phone (215) 755-7700
1401 S 31st St
#2
Philadelphia, PA 19146
432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000
5000 Woodland Ave
Philadelphia, PA 19143
Phone (215) 726-9807
5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- natalie.douglasfnp.p1@direct.gpha.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1114950151
-
dba GPHA Woodland Ave. Behavioral Healthcare
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1205140902
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1750934436
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1275151607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1033891858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 PITKIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112082763",
"telephone_number": "718-277-0386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 PITKIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112082763",
"telephone_number": "718-277-0386"
}
],
"practiceLocations": [
{
"address_1": "5000 Woodland Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191435137",
"country_code": "US",
"telephone_number": "215-724-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUGLAS",
"first_name": "NATALIE",
"middle_name": "ELAINE",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-01",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F356985-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.