Individual provider Active NPI

Dena Elizabeth Douglas, RN HNB-BC

  • Registered Nurse
  • Ship Bottom, NJ
National Provider Identifier
1285359398
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NR16692700 Issued in NJ
Practice address
382 W 9TH St Ste 8
Ship Bottom, NJ 08008-4634
Phone
(609) 698-1700
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR16692700 NJ Primary

Addresses

Primary practice location

382 W 9TH St Ste 8
Ship Bottom, NJ 08008-4634

Mailing address

9 Pond Hollow LN
West Creek, NJ 08092-3143
Phone (609) 833-1269

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL na Direct

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR16692700NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Living Acupuncture & Healing Arts Center CurrentSince Oct 16, 2022 Accepting new patients

Locations

382 W 9th St
Ste 8
Ship Bottom, NJ 08008
Phone (609) 361-1800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1285359398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 POND HOLLOW LN",
            "city": "WEST CREEK",
            "state": "NJ",
            "postal_code": "080923143",
            "telephone_number": "609-833-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 W 9TH ST STE 8",
            "city": "SHIP BOTTOM",
            "state": "NJ",
            "postal_code": "080084634",
            "telephone_number": "609-698-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "DENA",
        "middle_name": "ELIZABETH",
        "credential": "RN HNB-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR16692700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "382 W 9th St Ste 8",
            "city": "Ship Bottom",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080084634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ship Bottom, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.