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Active NPI 1336499854 Individual Practitioner Female Practitioner

Vanessa Lynn Douglas , PNP

Nurse Practitioner - Pediatrics • Springboro, OH

Professional Overview & Biography Verified Profile Summary

Vanessa Douglas, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Springboro, OH. Practice services are available at 662 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

662 N Main St

Springboro, OH 450669553

Telephone 9376415066
Fax 9375509797
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Springboro, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Springboro, OH (1102 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-28
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OH APRN.CNP.13836

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0073866 (OH)

Secondary Practice Locations

8501 Old Troy Pike

Huber Heights, OH 454241054

Phone: 9376414360

3333 W Tech Rd

Miamisburg, OH 453420955

Phone: 9376415725

1 Childrens Plz

Dayton, OH 454041815

Phone: 9376413600

6044 Wilmington Pike

Dayton, OH 454597006

Phone: 9376413270

7787 Cox Ln

West Chester, OH 450696549

Phone: 9376415757

1711 Germantown Pike

Dayton, OH 45417

Phone: 9376413142

792 Northwoods Blvd

Vandalia, OH 453779462

Phone: 9376414236

4475 Far Hills Ave

Kettering, OH 454292405

Phone: 9376413141

3301 Dayton Xenia Rd Ste 200

Beavercreek, OH 454322759

Phone: 9376415098

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Paula Eichmann , PNP

Nurse Practitioner - Pediatrics

NPI 1023430246

Pediatric Nurse Practitioner

Kelsi Gerdeman , FNP-C, ENP-C

Nurse Practitioner - Family

NPI 1023609617

Family Nurse Practitioner (Certified), ENPC

Nicole Garritano , PNP

Nurse Practitioner - Acute Care

NPI 1205145745

Pediatric Nurse Practitioner

Bonnie Albertini , FNP

Nurse Practitioner - Family

NPI 1215484894

Family Nurse Practitioner

Hannah Winkler , ARNP

Nurse Practitioner

NPI 1396191128

Advanced Registered Nurse Practitioner

Kristen Curington , FNP

Nurse Practitioner - Family

NPI 1548648215

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address February 17, 2026

Registered at PO BOX 933432, CLEVELAND, OH 441930039 (Tel: 9376413000)

📍
Updated Business Mailing Address October 10, 2023

Registered at PO BOX 933732, CLEVELAND, OH 441930039 (Tel: 9376413000)

📍
Updated Practice Location January 08, 2021

Registered at 662 N MAIN ST, SPRINGBORO, OH 450669553 (Tel: 9376415066)

📍
Updated Business Mailing Address January 08, 2021

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041815 (Tel: 9376413000)

👤
Provider Name / Credentials Updated January 08, 2021

Recorded as VANESSA DOUGLAS, PNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2021

Nurse Practitioner (License #APRN.CNP.13836 in OH)

NPI Profile Active November 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 18, 2015

Registered at 1 PERKINS SQ, AKRON, OH 443081063 (Tel: 3305438050)

📍
Updated Business Mailing Address November 18, 2015

Registered at 1 PERKINS SQ, AKRON, OH 443081063 (Tel: 3305438050)

👤
Provider Name / Credentials Updated November 18, 2015

Recorded as VANESSA DOUGLAS, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2015

Nurse Practitioner (License #COA.13836-NP in OH)

🟢
Initial NPI Registration & Enumeration September 12, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336499854
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2012
Last Update: May 28, 2026
Sole Proprietor: No

Mailing Address

Po Box 933432

Cleveland, OH 441930039

Phone: 9376413000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.