Danielle Brianna-Douthat Douglas, CNM, FNP-BC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

4704292408 Issued in MI

Practice address

210 Little Lake Dr Ste 10
Ann Arbor, MI 48103-6218

Phone

(734) 332-9936

Fax

(206) 666-2989

NPI assigned

Jun 10, 2016

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

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ddouglas2543689@direct.trinity-health.org

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.

• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Medicare reassignment NPD
• Iha Health Services Corporation

  • Obstetrics & Gynecology Physician
  • Canton, MI
  • NPI 1457408965
  Medicare reassignment NPD
• Malcolm Sickels MD P.C.

  • Family Medicine Physician
  • Ann Arbor, MI
  • NPI 1104928613
  Medicare reassignment NPD
• Henr Y Ford Health System

  • Advanced Practice Midwife
  • Detroit, MI
  • NPI 1902982093
  NPD
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD
• Iha Health Service Corporation

  • Obstetrics & Gynecology Physician
  • Ypsilanti, MI
  • NPI 1831053701
  NPD
• Iha Health Services Corporation

  • Obstetrics & Gynecology Physician
  • Ann Arbor, MI
  • NPI 1902953516
  NPD

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1609225564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LITTLE LAKE DR STE 10",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036218",
            "telephone_number": "734-332-9936",
            "fax_number": "206-666-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LITTLE LAKE DR STE 10",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036218",
            "telephone_number": "734-332-9936",
            "fax_number": "206-666-2989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22255 Greenfield Rd Ste 352",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753712",
            "country_code": "US",
            "telephone_number": "248-849-3401",
            "fax_number": "248-849-4106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "DANIELLE",
        "middle_name": "BRIANNA-DOUTHAT",
        "credential": "CNM, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704292408",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704292408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Doty, DPT
• Jacob Nash Dougherty
• Andrea Douglas, AGACNP-DNP
• Brittany Nichole Douglas, PA-C
• Cynthia Douglas
• Lorre Douglas
• Mary Doupe, RN
• Nicholas Joseph Douville, MD
• Liselle Douyon, MD
• Ashley Dove

• Advanced Practice Midwife in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Advanced Practice Midwife in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.