Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689634487 Individual Practitioner Female Practitioner

Beverly Jean Douglas , ARNP

Nurse Practitioner - Gerontology • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Beverly Douglas, ARNP is a registered healthcare professional specializing in Nurse Practitioner - Gerontology in Dallas, TX. Practice services are available at 1250 W MOCKINGBIRD LN STE 550 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1250 W Mockingbird Ln Ste 550

Dallas, TX 752474902

Telephone 4699043555
Fax 2148192405

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.7 Yrs
State Avg: 7.9 Yrs
Regional Practice Density
77 Specialists

Practicing in Dallas, TX (963 Statewide)

Telehealth Adoption Rate
9.1% 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 - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License TX AP134152

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License FL 9230264

(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

7 Associated Practitioners
Carla Marchesi , FNP-C

Nurse Practitioner - Family

NPI 1023358744

Family Nurse Practitioner (Certified)

Evelyn George , FNP

Nurse Practitioner - Family

NPI 1184018707

Family Nurse Practitioner

Laura Mann , LCSW

Social Worker

NPI 1225280308

Licensed Clinical Social Worker

Dr. Teresiah Mwangi , DNP, APRN

Nurse Practitioner - Gerontology

NPI 1770998205

Doctor of Nursing Practice, Advanced Practice Registered Nurse

Shalanda Stokes , APRN, FNP-C

Nurse Practitioner - Family

NPI 1881198323

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Meghann Duncan , FNP

Nurse Practitioner - Family

NPI 1902432578

Family Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active June 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2017

Registered at 1250 W MOCKINGBIRD LN STE 550, DALLAS, TX 752474902 (Tel: (469) 904-3555)

📍
Updated Business Mailing Address June 29, 2017

Registered at 1250 W MOCKINGBIRD LN STE 550, DALLAS, TX 752474902 (Tel: (469) 904-3555)

👤
Provider Name / Credentials Updated June 29, 2017

Recorded as BEVERLY DOUGLAS, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2017

Nurse Practitioner (License #9230264 in FL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 11150 NORTH 53 ST, TEMPLE TERRACE, FL 33617 (Tel: 8133637535)

📍
Updated Business Mailing Address July 08, 2007

Registered at 22707 EAGLES WATCH DRIVE, LAND O LAKES, FL 34639 (Tel: 8139961894)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BEVERLY DOUGLAS, ARNP

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

Nurse Practitioner (License #9230264 in FL)

🟢
Initial NPI Registration & Enumeration March 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1689634487
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2006
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

1250 W Mockingbird Ln Ste 550

Dallas, TX 752474902

Phone: 4699043555

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.