Individual provider Active NPI

Katharine Janke Huddleston Douillard, WHNP-BC, RN

  • Women's Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1538305669
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
13109 Issued in TN
Practice address
329 21St Ave N Ste 4
Nashville, TN 37203-1838
Phone
(615) 329-9333
Fax
(615) 329-0222
NPI assigned
Dec 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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 13109 TN Primary

Addresses

Primary practice location

329 21St Ave N Ste 4
Nashville, TN 37203-1838

Mailing address

300 20TH Ave North
Suite 106
Nashville, TN 37203
Phone (615) 284-5887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20101220000495 TN Practitioner - Nurse Practitioner 6305034224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
13109TNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Women'S Care Diagnostics, LLC Past Accepting new patients
Tennessee Women'S Care, PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1538305669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE NORTH",
            "address_2": "SUITE 106",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-284-5887",
            "fax_number": "615-284-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 21ST AVE N STE 4",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031838",
            "telephone_number": "615-329-9333",
            "fax_number": "615-329-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUILLARD",
        "first_name": "KATHARINE",
        "middle_name": "JANKE HUDDLESTON",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "13109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.