Wendy Douglas, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

360882-1 Issued in NY

Practice address

7 N Erie St
Mayville, NY 14757-1095

Phone

(716) 713-4939

Fax

(716) 753-4794

NPI assigned

Mar 19, 2014

Last updated

Mar 19, 2014By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1053738799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 KNIGHT ST",
            "city": "SILVER CREEK",
            "state": "NY",
            "postal_code": "141361612",
            "telephone_number": "716-713-4939",
            "fax_number": "716-753-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N ERIE ST",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147571095",
            "telephone_number": "716-713-4939",
            "fax_number": "716-753-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "WENDY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "360882-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Chautauqua a Mun Corp (Chautauqua County Health Department)
• County of Chautauqua a Municipal Corp (Nurse Family Partnership)
• Lois Damcott, RN
• Paige Davidson
• Melody A Dejohn
• Amanda Dove
• Eckerd Corporation (Rite Aid Pharmacy 10874)
• Shauna Erickson
• Family Peer Support Services of Chautauqua County, Inc.
• Cassandra Leigh Farrell

• Registered Nurse in Mayville, NY
• Providers in Mayville, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.