Active NPI
Terry D Douglas Jr.
- Speech-Language Pathologist
- Huntsville, AL
National Provider Identifier
1114492774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2510
- Practice address
- 12000 Turnmeyer Dr SE
Huntsville, AL 35803-3358 - Phone
- (256) 881-6717
- NPI assigned
- Oct 10, 2018
- Last updated
- Oct 10, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2510 | AL | Primary |
Addresses
Primary practice location
12000 Turnmeyer Dr SE
Huntsville, AL 35803-3358
Mailing address
2516 Hoffman Dr
Huntsville, AL 35810
Phone (256) 783-4732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2510 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1114492774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 HOFFMAN DR",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35810",
"telephone_number": "256-783-4732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 TURNMEYER DR SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358033358",
"telephone_number": "256-881-6717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "TERRY",
"middle_name": "D",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "2510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.