Samantha Janiece Douglas, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

224848 Issued in OK

Practice address

601 E Carl Albert Pkwy
McAlester, OK 74501-5113

Phone

(918) 233-6522

NPI assigned

Jul 19, 2025

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

Other names 1

• Samantha Janiece Long Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 12, 2025 through Aug 12, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: samantha.douglas@663746811265028.direct.elationemr.com

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

{
    "created_epoch": "1752883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1801788104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 KREBS LAKE RD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745012773",
            "telephone_number": "918-916-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E CARL ALBERT PKWY",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015113",
            "telephone_number": "918-233-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "SAMANTHA",
        "middle_name": "JANIECE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-19",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "224848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "LONG",
            "middle_name": "JANIECE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dougherty'S Pharmacy McAlester, LLC
• Savannah Chantae Doughty, APRN
• Douglas Counseling
• Carla Sue Douglas, PTA
• Lori Douglas
• David Lee Doyle, MD
• Evan O'Neal Dozier
• Jennifer Lorraine Dozier, M.ED.
• Dr Sue Beth Aber DDS PC
• Dr. Bailey W. Harrison ,DDS PC

• Nurse Practitioner in McAlester, OK
• Providers in McAlester, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.