Active NPI
Vernisha Chambers Douglas, RN
- Psychiatric/Mental Health Nurse Practitioner
- Montgomery, AL
National Provider Identifier
1689342495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1-152838
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285583815 | Medicaid | CO | |
| 82-410678 | Medicaid | AL | |
| 1285583815 | Medicaid | AL | |
| 82-4101678 | Medicaid | AL |
Other names 1
- Mrs. Vernisha Chambers Douglas
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-152838 | AL | MD | Psychiatric/Mental Health Nurse Practitioner |
| C-RXN.0103640-C-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline by B&V LLC | Adult Companion | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Montgomery, AL
- NPI 1285583815
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.