DEREK DOUGLAS RPSGT CNA FCMT BS NPI 1023706041

NPI Information

NPI: 1023706041
Provider Name: DEREK DOUGLAS, RPSGT, CNA, FCMT, BS
Classification: Specialist/Technologist, Other - 246Z00000X
Entity Type: Individual
Address:
523 N PINE ST.
GUNNISON, CO
ZIP 81230
Phone: (970) 746-6387
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Derek Douglas, RPSGT, CNA, FCMT, BS is a specialist technologist other in Gunnison, CO. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. Derek Douglas, RPSGT, CNA, FCMT, BS NPI is 1023706041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

523 N PINE ST.
GUNNISON, CO
ZIP 81230-615
Phone: (970) 746-6387
Fax: (970) 832-9287

The enumeration date for this NPI number is 4/27/2023 and was last updated on 8/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	171400000X	Health and Wellness Coach			No
2	247200000X	Technician, Other			No
3	374K00000X	Religious Nonmedical Practitioner			No
4	374U00000X	Home Health Aide	NA.00764940	COLORADO	No
5	376K00000X	Nurse's Aide	NA.00764940	COLORADO	No
6	246Z00000X	Specialist/Technologist, Other	24531	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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