Active NPI
Tara Elizabeth Douglas, D.C.
- Chiropractor
- Sylacauga, AL
National Provider Identifier
1831266469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2686
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2686 | AL | MD | Chiropractor |
| 283579 | OR | MD | Chiropractor |
| CH00034416 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadway Spinal Care LLC | Current | Accepting new patients | |
| Finnigan Chiropractic Center PLLC | Chiropractor | Past | Accepting new patients |
| Hearing & Communication Partners, Inc. | Past | Accepting new patients |
Locations
211 N Broadway Ave
Sylacauga, AL 35150
Phone (256) 861-8546
Interoperability endpoints
- 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.
-
- Health Service Clinic/Center
- Sylacauga, AL
- NPI 1639891898
-
- Chiropractor
- Lacey, WA
- NPI 1447307426
-
- Audiologist
- Olympia, WA
- NPI 1295199735
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.