Lois Douglas, BHA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

733 2ND Ave
FRF Behavioral Health Service
Kotzebue, AK 99752-0256

Phone

(907) 442-7640

Fax

(907) 442-7749

NPI assigned

Jun 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Lois Sheldon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1871023119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997520256",
            "telephone_number": "907-442-7640",
            "fax_number": "907-442-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 2ND AVE",
            "address_2": "FRF BEHAVIORAL HEALTH SERVICE",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997520256",
            "telephone_number": "907-442-7640",
            "fax_number": "907-442-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "LOIS",
        "name_prefix": "Mrs.",
        "credential": "BHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOIS",
            "last_name": "SHELDON",
            "prefix": "MISS",
            "credential": "BHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meredith A Dean, PHARMD
• Elsie Mary Dexter, HEALTH AIDE
• Elizabeth Ashley Diviney, LPC, CAADC, NCC
• Heather Dominguez
• Kimberly Marie Douglas, M.D.
• Shirley Renia Dukes, MA
• Victor E Ebenki, MA.CARS,BCCC,NCPRSS
• Carey D Eisen, MSW
• Rhonda H Eunice, LPN
• James Michael Farrington, MD

• Community Health Worker in Kotzebue, AK
• Providers in Kotzebue, AK by specialty
• Community Health Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.