Kimberly Brooke Douglas

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

90 North Thirty First
Clinton, OK 73601

Phone

(580) 323-6021

Fax

(580) 323-0828

NPI assigned

Mar 23, 2007

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

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186012800000",
    "number": "1154448561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MCKENZIE DR",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730964327",
            "telephone_number": "580-772-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 NORTH THIRTY FIRST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "73601",
            "telephone_number": "580-323-6021",
            "fax_number": "580-323-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "KIMBERLY",
        "middle_name": "BROOKE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin P. Schoonmaker DDS P.C.
• Diagnostic Laboratory of Oklahoma LLC
• Tara N Dickson, BS
• Lindsay Dlugonski
• Loretta June Dougherty
• Sally Drinnon, DOCTOR OF PHARMACY
• Terra Deanne Dupree, OTR/L
• Dynamic Psychological & Mediation Services
• Mitzie Eaton
• Ronald E Edgar, DC

• Case Manager/Care Coordinator in Clinton, OK
• Providers in Clinton, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.