Kelly Douglas
NPI 1093541831 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jefferson, WI
Kelly Douglas is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility provider in Jefferson, WI (NPI 1093541831).
Provider details
- NPI number
- 1093541831
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-09
- Last updated
- 2024-09-09
- Certified
- 2024-09-09
Frequently asked questions
- What is Kelly Douglas's NPI number?
- Kelly Douglas's National Provider Identifier (NPI) is 1093541831, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Douglas's specialty?
- Kelly Douglas is listed in the NPPES registry with a primary specialty of Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Kelly Douglas located?
- Kelly Douglas's practice location on file with NPPES is 910 Hillside Dr, Jefferson, WI 53549-1823.
- What is Kelly Douglas's phone number?
- The practice phone number listed in the NPPES registry for Kelly Douglas is (920) 650-0027.
- Is Kelly Douglas's NPI active?
- Yes — Kelly Douglas's NPI (1093541831) is active in the NPPES registry as of the last update on 2024-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.