Vanessa Myriam Douge, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

605108-1 Issued in NY

Practice address

2116 Merrick Ave
Suite 2002
Merrick, NY 11566-3457

Phone

(516) 867-7042

NPI assigned

Jan 10, 2012

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1215207154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FENIMORE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 MERRICK AVE",
            "address_2": "SUITE 2002",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663457",
            "telephone_number": "516-867-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGE",
        "first_name": "VANESSA",
        "middle_name": "MYRIAM",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "605108-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Matthew Diconsiglio, LMSW, CASAC-T
• Distinctive Physical Therapy PLLC
• Frauke Dittel
• Doctors Medical Office PLLC
• Karen Dorman, O.D.
• Margaret Nicole Doxsee, MS OTR/L
• Dr Sabeeh R Khan DDS PC
• Douglas L Drobbin, DC
• Kyria Dubique
• Aya Dzen, LMSW

• Registered Nurse in Merrick, NY
• Providers in Merrick, 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 Jan 10, 2012; 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.