Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Asia Kimberly Douglas

Individual provider Family Nurse Practitioner · NPI 1518421973

Asia Kimberly Douglas is a Nurse Practitioner in Frederick, Maryland. Qualified in 2018, 8 years ago. Practices with Free State Health and Wellness LLC, a 3-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

5 N Bentz St
Frederick, MD 21701-4913
Phone: (240) 647-9049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 43 Community Pl, Crownsville, MD 21032-2034 — (240) 647-9049

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R201604 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R201604 (MD)

Record details

NPI number1518421973
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 29, 2019
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Free State Health And Wellness Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Frederick