Allison K. Douthat, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0024186167 Issued in VA

Practice address

4687 Pouncey Tract Rd
Glen Allen, VA 23059-5802

Phone

(804) 422-5437

NPI assigned

Jan 12, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: allisondouthat@kidmed.allscriptsdirect.net

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.

• Kidmed Inc.

  dba KidMed West End

  • Urgent Care Clinic/Center
  • Glen Allen, VA
  • NPI 1407013121
  NPD
• Kidmed Southside PLC

  • Urgent Care Clinic/Center
  • Midlothian, VA
  • NPI 1477869337
  NPD (past)

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1679287718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13803 GARRISON PLACE DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124043",
            "telephone_number": "804-201-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4687 POUNCEY TRACT RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595802",
            "telephone_number": "804-422-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUTHAT",
        "first_name": "ALLISON",
        "middle_name": "K.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024186167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominion Home Care LLC (Dominion Home Care)
• Sonya A. Donaldson-Bates, LCSW
• Julie Hoke Donathan
• Caitlin Donlan, NP
• Kaley Donovan, LCSW
• Dr George P Varkey DMD PC (United Smiles)
• Dr. Jayaraman PLLC (Blue Jay Pediatric Dentistry)
• Dr. Kim E. Mauro, OD and Associates
• Dr. Lyb, LLC
• Dr. Will McGhee PLLC

• Pediatric Nurse Practitioner in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.