Individual provider Active NPI

Tara Elizabeth Douglas, D.C.

  • Chiropractor
  • Sylacauga, AL
National Provider Identifier
1831266469
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2686 Issued in AL
Practice address
211 N Broadway Ave
Sylacauga, AL 35150-2525
Phone
(256) 861-8546
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034416 WA
Chiropractor 111N00000X 283579 OR
Chiropractor 111N00000X 2686 AL Primary

Addresses

Primary practice location

211 N Broadway Ave
Sylacauga, AL 35150-2525

Mailing address

211 N Broadway Ave
Sylacauga, AL 35150-2525
Phone (503) 545-4474

Other practice location 1

16500 SE 15th St
Suite 160
Vancouver, WA 98683-9665
Phone (503) 545-4474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2686ALMDChiropractor
283579ORMDChiropractor
CH00034416WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Spinal Care LLC CurrentSince Sep 20, 2022 Accepting new patients
Finnigan Chiropractic Center PLLC Chiropractor PastSince Dec 3, 2023 Accepting new patients
Hearing & Communication Partners, Inc. PastSince Apr 1, 2021 Accepting new patients

Locations

211 N Broadway Ave
Sylacauga, AL 35150
Phone (256) 861-8546

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13724/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1831266469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N BROADWAY AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502525",
            "telephone_number": "503-545-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N BROADWAY AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502525",
            "telephone_number": "256-861-8546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16500 SE 15th St",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986839665",
            "country_code": "US",
            "telephone_number": "503-545-4474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "TARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034416",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "283579",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.