Jasmine Ann Douangpraseuth, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-78766-091 Issued in KS

Practice address

421 E 30TH Ave
Hutchinson, KS 67502-2412

Phone

(620) 500-5998

NPI assigned

Jul 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Regenative IV'S LLC

  • Holistic Clinical Nurse Specialist
  • Hutchinson, KS
  • NPI 1013620590
  Medicare reassignment NPD

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1417566233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E 30TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022412",
            "telephone_number": "620-500-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E 30TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022412",
            "telephone_number": "620-500-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUANGPRASEUTH",
        "first_name": "JASMINE",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78766-091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary A. Doll, P.T.
• Dopps Chiropractic of Hutchinson, LLC
• Lee R Dorey, MD
• Chelsie Marie Dosch, RN
• Megan Marie Dosch, DDS
• Douglas E Ball OD PA
• Danna Suzanne Douglas, PT
• Matt Douglas, P.A.
• Dr James L Pyle Optometrist LLC
• Dr. Joshua L Gill D.C. PA

• Family Nurse Practitioner in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.