Diamond Douglass, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704219025 Issued in MI

Practice address

19758 W 12 Mile Rd # 47
Southfield, MI 48076

Phone

(810) 373-9346

Fax

(253) 540-4700

NPI assigned

Sep 10, 2015

Last updated

Sep 10, 2015By the provider in NPPES

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

Credentials

Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dna Chore Service LLC

  • In Home Supportive Care Agency
  • Bloomfield Hills, MI
  • NPI 1801664248
  NPD Authorized official

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1982072708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19758 W 12 MILE RD # 47",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "810-373-9346",
            "fax_number": "253-540-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19758 W 12 MILE RD # 47",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "810-373-9346",
            "fax_number": "253-540-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "DIAMOND",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704219025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Doud, LMSW
• Douglas D. Fogel D.D.S., P.C.
• Donovan Douglas
• Jordan Douglas
• Kimberly T Douglas
• Selina Douglass
• Stephanie Douiahy, FNP-BC
• Christina Doulaverakis, M.D.
• Emily Diane Dove-Medows, RN, CNM
• Christina Downey-Biechler, DO

• Registered Nurse in Southfield, MI
• Providers in Southfield, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.