Individual provider Active NPI

Vernisha Chambers Douglas, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1689342495
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-152838 Issued in AL
Practice address
60 Commerce Street
350
Montgomery, AL 36104
Phone
(334) 468-6151
Fax
(334) 249-2791
NPI assigned
Sep 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X 1-152838 AL
Personal Care Attendant 3747P1801X 1-152838 AL
Homemaker 376J00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-RXN.0103640-C-NP CO
Administrator Registered Nurse 163WA2000X 1-152838 AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-152838 AL Primary

Addresses

Primary practice location

60 Commerce Street
350
Montgomery, AL 36104

Mailing address

1228 Carmichael Way
Montgomery, AL 36106-3671
Phone (334) 544-0123

Other identifiers 4

IdentifierTypeStateIssuer
1285583815MedicaidCO
82-410678MedicaidAL
1285583815MedicaidAL
82-4101678MedicaidAL

Other names 1

  • Mrs. Vernisha Chambers Douglas Professional name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-152838ALMDPsychiatric/Mental Health Nurse Practitioner
C-RXN.0103640-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline by B&V LLC Adult Companion CurrentSince Sep 12, 2021 Accepting new patients
Mhmatters365 Psychiatric/Mental Health Current Accepting new patients

Locations

1228 Carmichael Way
Montgomery, AL 36106
Phone (334) 277-1099

60 Commerce St
Ste 350
Montgomery, AL 36104
Phone (334) 468-6151

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": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1689342495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 CARMICHAEL WAY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063671",
            "telephone_number": "334-544-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COMMERCE STREET",
            "address_2": "350",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36104",
            "telephone_number": "334-468-6151",
            "fax_number": "334-249-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "VERNISHA",
        "middle_name": "CHAMBERS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "AL",
            "license": "1-152838",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "AL",
            "license": "1-152838",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-RXN.0103640-C-NP",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "AL",
            "license": "1-152838",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-152838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285583815",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82-410678",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285583815",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82-4101678",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERNISHA",
            "last_name": "DOUGLAS",
            "middle_name": "CHAMBERS",
            "prefix": "MRS.",
            "credential": "PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.