Active NPI
Kalie Douberly
- Counselor
- Rock Springs, WY
National Provider Identifier
1679092621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PPC-1026
- Practice address
- 1124 College Dr
Rock Springs, WY 82901-5863 - Phone
- (307) 352-6677
- NPI assigned
- Sep 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PPC-1026 | WY | Primary |
Addresses
Primary practice location
1124 College Dr
Rock Springs, WY 82901-5863
Mailing address
1124 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-6677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PPC-1026 | WY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1679092621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 COLLEGE DR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015863",
"telephone_number": "307-352-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 COLLEGE DR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015863",
"telephone_number": "307-352-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUBERLY",
"first_name": "KALIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "PPC-1026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.