NPIMap

Individual provider Active NPI

Rebecca Kaitlin Douglas, PA-C

  • Physician Assistant
  • Parker, CO
National Provider Identifier
1194454082
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116143 Issued in FL
Practice address
9403 Crown Crest Blvd Ste 200
Parker, CO 80138-8991
Phone
(720) 638-7500
Fax
(303) 269-2829
NPI assigned
Jun 7, 2022
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9116143 FL Primary

Addresses

Primary practice location

9403 Crown Crest Blvd Ste 200
Parker, CO 80138-8991

Mailing address

9403 Crown Crest Blvd Ste 200
Parker, CO 80138-8991
Phone (720) 638-7500

Other practice location 1

3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174

Other practice location 2

3460 Valley Creek Dr
Tallahassee, FL 32312-3633
Phone (850) 893-8655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, CO3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220901002133 FL Practitioner - Physician Assistant 0244614758 Reassigns benefits to 2 organizations
I20230510000462 GA Practitioner - Physician Assistant 0244614758 Reassigns benefits to 1 organization
I20251106002783 CO Practitioner - Physician Assistant 0244614758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Urgent Care LLCGroup PAC ID 8820305600, 171 clinicians

Practice addresses (Care Compare)

1730 Pat Thomas Pkwy
Quincy, FL 32351-8681
Phone (850) 662-0041

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

9403 Crown Crest Blvd
Suite 200
Parker, CO 80138-8991
Phone (303) 730-4400

9980 Park Meadows Dr
Suite 101
Lone Tree, CO 80124-8404
Phone (720) 638-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.5 of 100Reported as group
Quality
47.27
Promoting interoperability
99
Improvement activities
40
Cost
75.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9116143FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Orthopedic Clinic III PL CurrentSince Aug 22, 2022 Accepting new patients
Portercare Adventist Health System CurrentSince Nov 4, 2025 Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Aug 22, 2022 Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 18, 2025 Accepting new patients
Rural Urgent Care LLC Current Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 18, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Nov 4, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

850 E Harvard Ave
Ste 305
Denver, CO 80210
Phone (303) 778-5910

12596 W Bayaud Ave
Ste 100
Lakewood, CO 80228
Phone (303) 649-3050

7780 S Broadway
Ste 350
Littleton, CO 80122
Phone (303) 734-8650

9980 Park Meadows Dr
Ste 101
Lone Tree, CO 80124

9403 Crown Crest Blvd
Ste 200
Parker, CO 80138
Phone (303) 840-8780

1730 Pat Thomas Pkwy
Quincy, FL 32351
Phone (850) 662-0041

2605 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 219-6100

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (229) 393-5185

3334 Capital Medical Blvd
Ste 400
Tallahassee, FL 32308

5901 E Fowler Ave
Ste 100
Temple Terrace, FL 33617
Phone (813) 987-9700

603 Wheat Ave
Bainbridge, GA 39819
Phone (229) 246-1209

603 Wheat Ave
Ste 800
Bainbridge, GA 39819
Phone (229) 246-3608

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1194454082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 CROWN CREST BLVD STE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388991",
            "telephone_number": "720-638-7500",
            "fax_number": "303-269-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 CROWN CREST BLVD STE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388991",
            "telephone_number": "720-638-7500",
            "fax_number": "303-269-2829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3334 Capital Medical Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084470",
            "country_code": "US",
            "telephone_number": "850-877-8174",
            "fax_number": "850-656-5408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3460 Valley Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323123633",
            "country_code": "US",
            "telephone_number": "850-893-8655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "REBECCA",
        "middle_name": "KAITLIN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.