Derek Douglas, RPSGT, CNA, FCMT, BS
NPI 1023706041ActiveIndividual· Specialist/Technologist, Other· Gunnison, CO
Specialist/Technologist, Other (RPSGT, CNA, FCMT, BS) in Gunnison, Colorado, licensed in CO, with an NPI issued in April 2023.
Overview
| NPI | 1023706041 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPSGT, CNA, FCMT, BS |
| Sole proprietor | No |
| NPI issued | Apr 27, 2023 |
| Last updated in NPPES | Aug 18, 2023 |
| Certified by provider | Aug 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Other Primary | 246Z00000X | 24531 | CO |
| Health & Wellness Coach | 171400000X | — | — |
| Technician, Other | 247200000X | — | — |
| Religious Nonmedical Practitioner | 374K00000X | — | — |
| Home Health Aide | 374U00000X | NA.00764940 | CO |
| Nurse's Aide | 376K00000X | NA.00764940 | CO |
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 |
|---|