Jackie Renee Douglas

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

6544 N 34TH St
Omaha, NE 68112-3024

Phone

(531) 284-6210

NPI assigned

Mar 30, 2026

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Handle With Care

  • In Home Supportive Care Agency
  • Omaha, NE
  • NPI 1538057450
  NPD (past)

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1699615989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6403 N 62ND AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681041106",
            "telephone_number": "402-812-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6544 N 34TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681123024",
            "telephone_number": "531-284-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JACKIE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Douglas
• Deianiera Douglas
• Erica Douglas
• Hannah Claire Douglas
• Hazel Douglas
• Jennifer W Douglas, PLMHP
• Kailen Douglas
• Luxola Douglas
• Michael Lamar Douglas Jr.
• Tonya R Douglas

• Home Health Aide in Omaha, NE
• Providers in Omaha, NE by specialty
• Home Health Aide in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.