Kerri K Doucette, R.N., R.D., C.D.E.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L003934 Issued in NC

Practice address

20218 Colony Point LN
Cornelius, NC 28031-6011

Phone

(603) 361-9620

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kerri A Kulch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1386778066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20218 COLONY POINT LN",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316011",
            "telephone_number": "603-361-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20218 COLONY POINT LN",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316011",
            "telephone_number": "603-361-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCETTE",
        "first_name": "KERRI",
        "middle_name": "K",
        "credential": "R.N., R.D., C.D.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003934",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NC",
            "license": "97278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "KULCH",
            "middle_name": "A",
            "credential": "R.D., L.D.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pholile Dlamini, PSYD
• Sheila Mae Donahue, R.N.
• Dotson Consulting and Counseling, Inc
• Amy S Dotson, MSW, LCSW
• Heather Christine Doty, DO
• Naadirah Karriemah Douglas
• Coleman James Dove, LMFT-A
• Richard Edwin Dowdy
• Dr. Christopher E. Schmidtke, DDS
• Dr. Gary Draper DC PLLC

• Registered Dietitian in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.