Active NPIIndividual provider

Miss Shakaya Douglas, BA

Community Health Worker in Wolcott, Connecticut

NPI Number1447705611
Practice location
24 Spindle Hill RD, Wellmore INC Valliant House, Wolcott, CT 06716-1722
Fax
203-879-5537
Last updated
August 17, 2016

Shakaya Douglas is a Community Health Worker based in Wolcott, CT. Shakaya Douglas practices in Wolcott, CT and has the professional credentials of BA. The NPI Number for Shakaya Douglas is 1447705611. The current practice location address for Shakaya Douglas is 24 Spindle Hill RD, Wellmore INC Valliant House, Wolcott, CT 06716-1722 and can be reached out via phone at 203-879-5533 and via fax at 203-879-5537.

Provider Profile Details

NPI Number
1447705611
Provider Name
Shakaya Douglas
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
24 Spindle Hill RD, Wellmore INC Valliant House, Wolcott, CT 06716-1722
Phone Number
203-879-5533
Fax Number
203-879-5537
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Provider Enumeration Date
August 17, 2016
Last Update Date
August 17, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Spindle Hill RD
Wellmore INC Valliant House
Wolcott, CT 06716-1722
Zip
06716-1722
Phone Number
203-879-5533
Fax Number
203-879-5537
Wolcott, CT 06716Get directions →

Provider Business Mailing Address Details

Address
141 E Main St
4TH Flr Administration
Waterbury, CT 06702-2310
City
Waterbury
State
CT
Zip
06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006

License Information

Taxonomy
Community Health Worker · 172V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Shakaya Douglas, BA?

The NPI number of Miss Shakaya Douglas, BA is 1447705611. It was assigned on August 17, 2016 and is currently active in the NPPES registry.

What is the specialty of Miss Shakaya Douglas, BA?

Miss Shakaya Douglas, BA is registered under the primary taxonomy Community Health Worker (code 172V00000X).

Where does Miss Shakaya Douglas, BA practice?

The practice location is 24 Spindle Hill RD, Wellmore INC Valliant House, Wolcott, CT 06716-1722. The office can be reached at 203-879-5533 (phone) or 203-879-5537 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447705611 directly on the NPPES registry website.

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