Diane Douglas, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP000173 Issued in DC

Practice address

900 2ND St NE
Suite 306
Washington, DC 20002-3557

Phone

(202) 544-2320

Fax

(202) 544-2321

NPI assigned

Jun 12, 2012

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)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Conaboy & Associates, Inc.

  • Occupational Therapist
  • Washington, DC
  • NPI 1689944068
  NPD (past)
• Positive Development of California PC

  • Psychologist
  • Whittier, CA
  • NPI 1538769617

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1902168388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 2ND ST NE",
            "address_2": "SUITE 306",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023557",
            "telephone_number": "202-544-2320",
            "fax_number": "202-544-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 2ND ST NE",
            "address_2": "SUITE 306",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023557",
            "telephone_number": "202-544-2320",
            "fax_number": "202-544-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "DIANE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP000173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC DEPT OF HEALTH PROFESSIONAL LICENSING ADMINISTRATION",
            "identifier": "SLP000173",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Avery and Associates LTD
• Angel T Douglas, CNA
• Arianna Douglas
• Breya U-Nique Douglas
• Devon Douglas
• Evan Douglas
• Heather Lynn Douglas, LCSW-C, RN
• Jacqueline Douglas Douglas, PHARM.D
• Karen Michelle Douglas, LICSW, LCSW-C
• Keosha Lashay Douglas

• Speech-Language Pathologist in Washington, DC
• Providers in Washington, DC by specialty
• Speech-Language Pathologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.