Individual provider Active NPI

Belinda Dees Douglas, APN

  • Gerontology Nurse Practitioner
  • Ripley, TN
National Provider Identifier
1811214653
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APN0000014722 Issued in TN
Practice address
327 Burke Dr
Ripley, TN 38063-1605
Phone
(731) 635-7322
NPI assigned
May 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APN0000014722 TN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0000014722 TN

Addresses

Primary practice location

327 Burke Dr
Ripley, TN 38063-1605

Mailing address

327 Burke Dr
Ripley, TN 38063-1605
Phone (731) 635-7322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000116 TN Practitioner - Nurse Practitioner 4082730064 Reassigns benefits to 2 organizations
Practice locations: Covington, TN; Ripley, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14722TNMDSocial Worker
APN0000014722TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Care Services of West TN, Inc. CurrentSince Aug 17, 2018 Accepting new patients
State of Tennessee-Western Mental Health Institute CurrentSince Aug 17, 2015 Accepting new patients

Locations

11100 Highway 64
Bolivar, TN 38008
Phone (731) 228-0772

130 W Main St
Brownsville, TN 38012
Phone (731) 772-9002

1997 Highway 51 S
Covington, TN 38019
Phone (844) 727-2778

2380 Henry St
Dyersburg, TN 38024
Phone (731) 287-1794

6401 Poplar Ave
Ste 214
Memphis, TN 38119

5281 Navy Rd
Millington, TN 38053
Phone (901) 407-2944

403 Commerce St
Ripley, TN 38063
Phone (731) 635-3968

213 Lakeview Rd
Somerville, TN 38068
Phone (844) 727-2778

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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1811214653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 BURKE DR",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380631605",
            "telephone_number": "731-635-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BURKE DR",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380631605",
            "telephone_number": "731-635-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "BELINDA",
        "middle_name": "DEES",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "APN0000014722",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000014722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, TN

Sources for this page

Verify at the official NPI Registry.