MRS. KEMI SATTERFIELD DOUGLAS NP NPI 1225005028

NPI Information

NPI: 1225005028
Provider Name: MRS. KEMI SATTERFIELD DOUGLAS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: PHYSICIANS ELDERCARE PA

PECOS Registration: Yes

Address:
4692 BROWNSBORO RD
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 251-1114
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MRS. Kemi Satterfield Douglas, NP is a family nurse practitioner in Winston Salem, NC with 23 years of experience. MRS. Kemi Satterfield Douglas, NP NPI is 1225005028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4692 BROWNSBORO RD
WINSTON SALEM, NC
ZIP 27106-410
Phone: (336) 251-1114
Fax: (336) 251-1115

The NPI 1225005028 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/1/2006 and was last updated on 3/15/2011.

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	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	900377	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2592063A	MEDICARE PIN	NORTH CAROLINA
2	Q14522	MEDICARE UPIN

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: 11/14/2023

NPI Synchronization or Removal

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