Jenell Douglas, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

618 Issued in CT

Practice address

107 Newtown Rd Ste 2a
Danbury, CT 06810

Phone

(203) 830-4700

Fax

(203) 730-4165

NPI assigned

Oct 2, 2017

Sex

Female

Sole proprietor

Yes

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.

• Advanced Specialty Care, P.C.

  • Otolaryngology Physician
  • Danbury, CT
  • NPI 1053340943

  CT, Multi-Specialty

  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280

  CA, Multi-Specialty

  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Rosemead, CA
  • NPI 1942787114
  NPD
• Advanced Audiology & Hearing Aid Services

  • Audiologist
  • Danbury, CT
  • NPI 1861677031

  Multi-Specialty

  NPD (past)
• John Weigand Audiology PC

  • Audiologist
  • Brooklyn, NY
  • NPI 1700122017

  Multi-Specialty

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in CT, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenell.douglas.d1.p1@direct.asc.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2018.

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1326558602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NEWTOWN RD STE 2A",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104151",
            "telephone_number": "203-830-4700",
            "fax_number": "203-730-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NEWTOWN RD STE 2A",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-830-4700",
            "fax_number": "203-730-4165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Lenox Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032017",
            "country_code": "US",
            "telephone_number": "718-270-3976",
            "fax_number": "914-668-4932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JENELL",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "CT",
            "license": "618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Dorante
• Jocelyn Dore, AU.D.
• Jessie Alice Dorne, PA-C
• Luana Lilian Dias Dossantos
• Jodi Lynn Dostaler, FNP
• Joseph Vincent Dovi, OCCUPATIONAL THERAPI
• Victoria Elizabeth Doyle, BCBA
• Dr Allen Davis PLLC
• Dr Michael Gazsi, PC
• Dr. Jack L. Gish & Associates, PC

• All providers in Danbury, CT
• Audiologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.