Terryan Douglas, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9298531 Issued in FL

Practice address

5401 S Congress Ave Ste 102
Atlantis, FL 33462-6636

Phone

(561) 967-5033

Fax

(561) 967-8974

NPI assigned

Oct 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Wellington Medical Care Associates

  • Internal Medicine Physician
  • Royal Palm Beach, FL
  • NPI 1245339837

  FL, Multi-Specialty

  Medicare reassignment NPD
• Royal Palm Medical Care, LLC

  • Primary Care Clinic/Center
  • Royal Palm Beach, FL
  • NPI 1700736840
  NPD (past)

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1912418658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD",
            "address_2": "STE 204",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633213",
            "telephone_number": "561-966-7717",
            "fax_number": "888-316-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S CONGRESS AVE STE 102",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626636",
            "telephone_number": "561-967-5033",
            "fax_number": "561-967-8974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Swift Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523514",
            "country_code": "US",
            "telephone_number": "509-946-4611",
            "fax_number": "509-942-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "TERRYAN",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP61452031",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9298531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Donley, MD
• Carlos Dorta, MD
• Alfredo Reyes Dosdos, MD
• Jean Carlucci Dosdos, R.D.,L.D
• Jocelyn Doughty, ARNP
• Mary Dove
• DRS Penner Norris and Routman PA
• Lori Boldt Drucker, ARNP
• Natallia Dyliuk, APRN
• Philip Gregory Eber, MD

• All providers in Atlantis, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.