Gessika Analise Douglas, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

310708 Issued in NY

Practice address

41 Church Street
Richfield Springs, NY 13439

Phone

(607) 267-2605

NPI assigned

Feb 5, 2014

Last updated

Feb 5, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1083038566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154",
            "city": "SCHUYLER LAKE",
            "state": "NY",
            "postal_code": "134570154",
            "telephone_number": "607-267-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CHURCH STREET",
            "city": "RICHFIELD SPRINGS",
            "state": "NY",
            "postal_code": "13439",
            "telephone_number": "607-267-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "GESSIKA",
        "middle_name": "ANALISE",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "310708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scott Bailey, DNP, FNP-BC
• Sally Mae Crawford
• Jennifer Anne Doxtater, OTR/L
• Breelynd Eggleston, M.ED., LMHC
• Linda Lee Hectus I, LPN
• Brian Hoyt
• Jamie Defazio

• Licensed Practical Nurse in Richfield Springs, NY
• Providers in Richfield Springs, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.