Robin Gayle Douglas, VSD, JST

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

6430 Court Rd BLDG a
Houston, TX 77053-4462

Phone

(281) 248-6109

NPI assigned

Feb 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1932731205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 COURT RD BLDG A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770534462",
            "telephone_number": "281-248-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 COURT RD BLDG A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770534462",
            "telephone_number": "281-248-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "ROBIN",
        "middle_name": "GAYLE",
        "credential": "VSD, JST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TX",
            "license": "RGAYLE82",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "TX",
            "license": "RGAYLE82",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNT WORKFORCE INCLUSION & SUSTAINABLE EMPLOYMENT VOCATIONAL SERVICE DIRECTOR",
            "identifier": "RGAYLE82VSD",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNT WORKFORCE INCLUSION & SUSTAINABLE EMPLOYMENT VOCATIONAL SERVICE DIRECTOR",
            "identifier": "RGAYLE82VSD",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNT WORKFORCE INCLUSION & SUSTAINABLE EMPLOYMENT JOB SKILLS TRAINER",
            "identifier": "RGAYLE82JST",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Deshay Douglas, MA, MBC
• Kord Douglas
• Laquita Donatto Douglas, RPH
• Lissa Whyte Douglas, LPC
• Matthew Taylor Douglas, MD
• Sasha Douglas, LCSW
• Tina Douglas, PHARM.D.
• Patrick Douglass, LPC
• Doula Denise, LLC
• Francis Dournayan

• Case Manager/Care Coordinator in Houston, TX
• Providers in Houston, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.