Individual provider Active NPI

Catherine D Douglas, MS, RNC

  • Women's Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1366528002
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024167142 Issued in VA
Practice address
12129 Graham Meadows Dr
Richmond, VA 23233-6661
Phone
(804) 288-4084
Fax
(804) 282-2601
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024167142 VA Primary

Addresses

Primary practice location

12129 Graham Meadows Dr
Richmond, VA 23233-6661

Mailing address

7130 Glen Forest Dr
Suite 101
Richmond, VA 23226-3754
Phone (804) 288-4084

Other identifiers 1

IdentifierTypeStateIssuer
1366528002MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140323000003 VA Practitioner - Nurse Practitioner 3274764998 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

9105 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 323-2255

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024167142VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Apr 18, 2018 Accepting new patients
Virginia Womens Center Inc CurrentSince Jan 12, 2014 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 18, 2018 Accepting new patients
MCV Associated Physicians CurrentSince Mar 5, 2023 Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

12129 Graham Meadows Dr
Richmond, VA 23233

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

7130 Glen Forest Dr
Ste 101
Richmond, VA 23226

5875 Bremo Rd
Ste 400
Richmond, VA 23226
Phone (804) 287-3550

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

9105 Stony Point Dr
Richmond, VA 23235
Phone (804) 828-4409

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1366528002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 GLEN FOREST DR",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263754",
            "telephone_number": "804-288-4084",
            "fax_number": "804-282-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12129 GRAHAM MEADOWS DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232336661",
            "telephone_number": "804-288-4084",
            "fax_number": "804-282-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "CATHERINE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MS, RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024167142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366528002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.