MR. NELSON PARKS DOUGLASS MD NPI 1912585357

NPI Information

  • NPI: 1912585357
  • Provider Name: MR. NELSON PARKS DOUGLASS, MD
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 175 N MEDICAL DR RM 5001
    SALT LAKE CITY, UT
    ZIP 84112
  • Phone: (801) 581-2121

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NPI Details

MR. Nelson Parks Douglass, MD is a clinical neurophysiology psychiatry neurology in Salt Lake City, UT with 5 years of experience. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). MR. Nelson Parks Douglass, MD NPI is 1912585357. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:2021

The provider's business location address is:

175 N MEDICAL DR RM 5001
SALT LAKE CITY, UT
ZIP 84112-103
Phone: (801) 581-2121

The NPI 1912585357 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 3/29/2021 and was last updated on 6/11/2025.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramMISSISSIPPINo
22084N0600XPsychiatry & NeurologyClinical Neurophysiology14206306-1205UTAHYes

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: 11/21/2025

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