Erica Douma

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

08612 Issued in MD

Practice address

4915 Aspen Hill Rd
Rockville, MD 20853-3709

Phone

(130) 193-3345

Fax

(301) 933-3451

NPI assigned

Oct 10, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Sheppard Pratt Health System, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Rockville, MD
  • NPI 1093869679
  NPD (past)

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587168000000",
    "number": "1952811432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 ASPEN HILL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533709",
            "telephone_number": "301-933-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 ASPEN HILL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533709",
            "telephone_number": "130-193-3345",
            "fax_number": "301-933-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUMA",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Douglas
• Tytianna Douglas
• Aminata Doukoure
• Djankanagbe Doukoure
• Mohamed Doukoure
• Marsha Douma, D.D.S.
• Salma Dove-Edwin
• Alexandra Dove
• Monae Dove
• Petrona Dover

• Speech-Language Pathologist in Rockville, MD
• Providers in Rockville, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.