Hella S Douglas PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1010020560 Issued in VT

Legal business name

HELLA S DOUGLAS PLLC

Practice address

188 Allen Brook LN
Williston, VT 05495-9303

Phone

(802) 876-4000

Fax

(802) 876-4001

NPI assigned

Aug 27, 2008

Last updated

Aug 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hella Sophie Douglas, APRN, ADULT PSYCH

Title

Owner

Phone

(802) 876-4000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1356598742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 ALLEN BROOK LN",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959303",
            "telephone_number": "802-876-4000",
            "fax_number": "802-876-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 ALLEN BROOK LN",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959303",
            "telephone_number": "802-876-4000",
            "fax_number": "802-876-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELLA S DOUGLAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "HELLA",
        "authorized_official_middle_name": "SOPHIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-876-4000",
        "authorized_official_credential": "APRN, ADULT PSYCH"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "1010020560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014269",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Williston, VT
• Providers in Williston, VT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.