Karen Ann Douvillier, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95018007 Issued in CA

Practice address

Pacific Neuroscience Institute
2125 Arizona Ave
Santa Monica, CA 90404

Phone

(310) 582-7640

Fax

(949) 364-4290

NPI assigned

Jun 22, 2021

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

Enrolled in CA

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karendouvillier@chcca.allscriptsdirect.net
• Direct secure messaging: kdouvillier893100@oc.providencedirect.org

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.

• Providence Saint Johns Medical Foundation

  • Specialist
  • Santa Monica, CA
  • NPI 1770093734
  Medicare reassignment NPD

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1972172005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 DIAMANTE",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733824",
            "telephone_number": "949-426-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PACIFIC NEUROSCIENCE INSTITUTE",
            "address_2": "2125 ARIZONA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-582-7640",
            "fax_number": "949-364-4290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16152 Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926473806",
            "country_code": "US",
            "telephone_number": "714-885-8980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUVILLIER",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972172005",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Tyler M.D. a Professional
• Christopher Richard Douglas
• Erica Renee Douglas, LVN
• Valerie Douglas, PHD
• Howard Dounn
• Kristine Dowd, RN, IBCLC
• Erin Paz Dowling, M.D.
• Patrick Dowling, MD
• Ian Andrew Downs, MD
• John M Doyle, M.D.

• Family Nurse Practitioner in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.