Carly Douglas, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

955466 Issued in TX

Practice address

7777 Forest LN Ste C700
Dallas, TX 75230-2518

Phone

(972) 566-6464

Fax

(972) 566-6279

NPI assigned

Aug 12, 2024

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)

Enrolled

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1225869191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302518",
            "telephone_number": "972-566-6464",
            "fax_number": "972-566-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302518",
            "telephone_number": "972-566-6464",
            "fax_number": "972-566-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "CARLY",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "955466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas R. Turgeon, M.D., P.a.
• Douglas T Stafford DO PA
• Becky Ann Douglas, RN, WHCNP
• Beverly Jean Douglas, ARNP
• Brittany Douglas
• Courtland Douglas
• Jackson Douglas, MD
• Kaci Douglas, CRNA
• Nadia N Douglas, FNP-C
• Sage Alexis Douglas

• Registered Nurse First Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.