Keyonna Arien Douglas

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

16 Carmel St
New Britain, CT 06053-2518

Phone

(860) 877-0461

NPI assigned

Oct 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: keyonna.douglas.p1@direct.wheelerclinic.nextgenshare.com

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1710769740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CARMEL ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060532518",
            "telephone_number": "860-877-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CARMEL ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060532518",
            "telephone_number": "860-877-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "KEYONNA",
        "middle_name": "ARIEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Donaghy, LMSW
• Terrence K Donahue, MD
• Courtney Dale Donarum, DNP, NP-C
• Ellen P Donshik, MD
• Cheryl Ann Dostie, LCSW
• Habib Doumit
• Jessica Dowling, CRNA/APRN
• Raymond Doyle, APRN
• Louisa Drake, DO
• Tamar Tanisha Draughn, LPC

• All providers in New Britain, CT
• Case Manager/Care Coordinator in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.