Asia Kimberly Douglas

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R201604 Issued in MD

Practice address

5 N Bentz St
Frederick, MD 21701-4913

Phone

(240) 647-9049

NPI assigned

Jan 29, 2019

Last updated

Jan 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Asia Spearman Former name

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Free State Health and Wellness LLCGroup PAC ID 5294001210, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Free State Health and Wellness, LLC

  • Family Nurse Practitioner
  • Crownsville, MD
  • NPI 1902324130
  Medicare reassignment Care Compare group NPD
• Oriented Healthcare, LLC

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1861109142
  Medicare reassignment NPD
• Careplus, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aberdeen, MD
  • NPI 1518657022
  NPD Authorized official
• Free State Health and Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
  • NPI 1093389744

  Family

  NPD
• Free State Mental Health & Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nottingham, MD
  • NPI 1770311789
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1518421973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N BENTZ ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014913",
            "telephone_number": "240-647-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N BENTZ ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014913",
            "telephone_number": "240-647-9049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Community Pl",
            "address_purpose": "LOCATION",
            "city": "Crownsville",
            "state": "MD",
            "postal_code": "210322034",
            "country_code": "US",
            "telephone_number": "240-647-9049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "ASIA",
        "middle_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R201604",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R201604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASIA",
            "last_name": "SPEARMAN",
            "credential": "CRNP-PMH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rose Dorsky, M.S., BCBA, LBA
• Dottie Harkless, LCSW-C, LLC
• Matilda Marie Dougherty, LGPC, NCC
• Caroline Doughty, LGPC
• Douglas J. Koch, D.D.S.,L.L.C. (Endodontic Associates)
• Lisa Dover
• Kelly Rebecca Dowe, NP-C
• Christina Dowling, LMT
• Mary Louise Downs
• Sara Whitney Dowski, MA, LCPC, NCC

• Psychiatric/Mental Health Nurse Practitioner in Frederick, MD
• Providers in Frederick, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.