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

Kierra Douglass

Individual provider Nurse Practitioner · NPI 1356290910

Kierra Douglass is a Nurse Practitioner in Terre Haute, Indiana. Qualified in 2025, 1 year ago. Practices with Providence Medical Group, LLC, a 26-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2026
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Practice location Address checks out

2723 S 7th St Ste A
Terre Haute, IN 47802-3558
Phone: (812) 232-8164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71017623A (IN)

Record details

NPI number1356290910
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 27, 2026
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address1942 Cobblestone Way S, Terre Haute, IN 47802-5411

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Providence Medical Group, Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Terre Haute