Kenyatta Douglas
NPI 1023201381ActiveIndividual· Nurse's Aide· Indianapolis, IN
Nurse's Aide in Indianapolis, Indiana, licensed in IN, with an NPI issued in August 2007.
Overview
| NPI | 1023201381 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 21, 2007 |
| Last updated in NPPES | Aug 21, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse's Aide Primary | 376K00000X | 48010503137 | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 36 Nurse's Aide providers in Indianapolis · All Nurse's Aide providers in Indiana