Kathleen M Douglass, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN610072 Issued in PA

Practice address

3055 Innovation Way
Hermitage, PA 16148-7905

Phone

(814) 333-5438

Fax

(814) 333-5439

NPI assigned

Nov 26, 2014

Last updated

Jul 31, 2026By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keystone Anesthesia Consultants, LTD

  • Anesthesiology Physician
  • Washington, PA
  • NPI 1861450751
  NPD

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1811394489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-5438",
            "fax_number": "814-333-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 INNOVATION WAY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161487905",
            "telephone_number": "814-333-5438",
            "fax_number": "814-333-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 E State St",
            "address_purpose": "LOCATION",
            "city": "Sharon",
            "state": "PA",
            "postal_code": "161463328",
            "country_code": "US",
            "telephone_number": "724-983-7310",
            "fax_number": "724-983-2797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN610072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "PENDING",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diversified Family Services, Inc.
• Leslie Dixon, MA
• Kristin Erika Donatelli, MA, LPC
• Mary C Dougherty
• Virginia Elverta Douglas, FNP
• Dr James G Kollar DDS
• Dr. Dan Moschillo, Inc.
• Dream Dental and Sleep LLC (Dream Dental and Sleep)
• Dream Sleep Apnea Therapeutics PLLC
• Cheryl Duffy

• Certified Registered Nurse Anesthetist in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.