Nicole Douglas

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP11612 Issued in AZ

Practice address

32150 N North Foothills Dr
Phoenix, AZ 85085-8100

Phone

(623) 445-8400

NPI assigned

Jan 9, 2019

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.

• Therapy Tree, PLLC

  • Hearing and Speech Clinic/Center
  • Phoenix, AZ
  • NPI 1306240817

  Speech-Language Pathologist

  NPD (past)
• Therapy Tree Group PLLC

  • Hearing and Speech Clinic/Center
  • Houston, TX
  • NPI 1689385973
  NPD (past)
• Youthful Horizons Physical Therapy P S

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1699823898
  NPD (past)

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1952874299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E BELL RD APT 307",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226327",
            "telephone_number": "636-368-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32150 N NORTH FOOTHILLS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858100",
            "telephone_number": "623-445-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP11612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Murphy LPC PLLC
• Douglas W Kelly MD PC
• Anne Douglas, MAPC, LPC, LASAC
• Arielle Jolie Douglas
• Matthew Joseph K Douglas, M.D.
• Xavier Douglas, MD
• Michael Doukas
• Doula4Care LLC
• Farah N Doulah
• Shelley Jacquelyn Doumani-Semino, MD

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.