Ashleigh Douglas
Nurse Anesthetist, Certified Registered in Watertown, WI. Individual provider (NPI-1).
NPI number1669940664
StatusActive
Last updated in NPPESFeb 11, 2025
Details
- NPI
- 1669940664
- Entity type
- Individual (NPI-1)
- Name
- Ashleigh Douglas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2018
- Certification date
- Feb 11, 2025
- Last updated
- Feb 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Part B Yes · DME No · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 225088 | WI | Yes |
Practice location
125 Hospital DrWatertown, WI 53098-3303
Phone 920-261-4210
Mailing address
Po Box 249Fort Atkinson, WI 53538-0249
Phone 706-832-7340
Other practice locations
611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Fort Atkinson, WI 53538-1960
Phone 920-568-5000
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