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Deactivated NPI 1114930286 Deactivated / Inactive NPI Female Practitioner

Constance V Douglas , APRN

Nurse Practitioner • Greeneville, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Constance Douglas has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 13, 2006
NPI Deactivation Date August 09, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Constance Douglas, APRN was a registered Nurse Practitioner practicing in Greeneville, TN. Throughout an active medical career spanning 11 years, Constance Douglas provided care at the practice location at 401 HOLSTON DRIVE until profile deactivation on 2017-08-09.

Practice Location & Contact Primary Location

Practice Address

401 Holston Drive
Nolachuckey Holston Area Mental Health Center

Greeneville, TN 377440683

Telephone 4236391104
Fax 4236398563
Associated Practice Facility / Clinic
🏢 Frontier Health Facility NPI 1760547004

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Greeneville, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Greeneville, TN (2343 Statewide)

Telehealth Adoption Rate
11.1% 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

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TN APRN11118

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003829144

LPCMHSPLICENSEDPR

Cindy Tvardy , MED, LMFT

Marriage & Family Therapist

NPI 1013019397

Master of Education, Licensed Marriage and Family Therapist

Courtney Holtsclaw , BS

Case Manager/Care Coordinator

NPI 1013090323

Bachelor of Science

NPI 1053538983

Master of Arts

Karen Lane , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063544666

Advanced Practice Registered Nurse

Rebecca Moore , BA

Case Manager/Care Coordinator

NPI 1104909415

Bachelor of Arts

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 09, 2017

Record deactivated on August 09, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 401 HOLSTON DRIVE, NOLACHUCKEY HOLSTON AREA MENTAL HEALTH CENTER, GREENEVILLE, TN 377440683 (Tel: 4236391104)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 9054, GRAY, TN 376159054 (Tel: 4234673600)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CONSTANCE DOUGLAS, APRN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #APRN11118 in TN)

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Initial NPI Registration & Enumeration August 13, 2006

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: 1114930286
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2006
Last Update: July 08, 2007
Deactivation Date: August 09, 2017

Mailing Address

Po Box 9054

Gray, TN 376159054

Phone: 4234673600

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.