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

Kaitlin Douglas

Individual provider Nurse Practitioner · NPI 1295360501

Kaitlin Douglas is a Nurse Practitioner in Princeton, West Virginia. Qualified in 2015, 11 years ago. Practices with Princeton Community Hospital Assn Inc, a 175-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
11
Licensed in
WV
In the registry since
2020

Practice location Address checks out

122 12th St
Princeton, WV 24740-2312
Phone: (304) 487-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 608 New Hope Rd Ste 1, Princeton, WV 24740-2287 — (304) 425-1522

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 105447 (WV)

Record details

NPI number1295360501
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2020
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020
Mailing address608 New Hope Rd Ste 1, Princeton, WV 24740-2287

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Princeton Community Hospital Assn. Inc. — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Princeton