Elizabeth Ann Douglass, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA55210 Issued in FL

Practice address

6385 Presidential CT
Suite 102
Fort Myers, FL 33919-3547

Phone

(239) 822-0973

NPI assigned

Dec 30, 2008

Last updated

Apr 8, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1598901290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19810 GOTTARDE RD",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339174563",
            "telephone_number": "239-822-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6385 PRESIDENTIAL CT",
            "address_2": "SUITE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193547",
            "telephone_number": "239-822-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA55210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas a Newland MD PA
• Elena Douglas
• Jenniffer Douglas
• Wendy Anne Douglas, BA
• Zachariah Douglas II, M.D
• Philippe Gerard Douyon, M.D.
• Loureen Smart Downes, ARNP
• Lola Marie Downs
• Marjo Doyle
• Robin Doyle, MD

• Specialist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.