Kathryn Elizabeth Douglass, CPNP
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2011
- Practice address
- 12000 Elm Creek N Blvd, Maple Grove, MN 55369
- Practice phone
- Call (952) 401-8300
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
South Lake Pediatrics
Maple Grove, Minnesota
Find Kathryn Douglass' professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Kathryn Elizabeth Douglass is a pediatric nurse practitioner in Maple Grove, Minnesota
Kathryn Douglass practices at South Lake Pediatrics in Maple Grove, Minnesota.
Kathryn Douglass' NPI, 1497043954, was assigned on July 19, 2011. Kathryn Douglass holds Minnesota license 20102395.
- NPI
- 1497043954NPI Registry (opens in a new tab)
- NPI enumeration date
- July 19, 2011
- NPI status
- Active
- Practice phone
- (952) 401-8300
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data
Kathryn Elizabeth Douglass practices at South Lake Pediatrics in Maple Grove, Minnesota
Kathryn Douglass' primary practice is South Lake Pediatrics, at 12000 Elm Creek N Blvd, Maple Grove, MN 55369 in Hennepin County. The practice phone is (952) 401-8300.
- South Lake Pediatrics12000 Elm Creek N Blvd, Maple Grove, MN 55369 · Hennepin CountyPhone(952) 401-8300
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Kathryn Elizabeth Douglass is affiliated with 2 sites of care and 1 medical group
Kathryn Douglass' primary practice is South Lake Pediatrics in Maple Grove, Minnesota. The medical group on file is South Lake Pediatrics. Dmand AI also links Kathryn Douglass to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Kathryn Elizabeth Douglass' practice
Dmand AI tracks the electronic health record (EHR) system at each site where Kathryn Douglass practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| South Lake Pediatrics | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Kathryn Elizabeth Douglass is one of 346 pediatric nurse practitioners in Minnesota
Nurse practitioner is Kathryn Douglass' primary specialty in the NPI Registry, under taxonomy code 363LP0200X. The record also lists pediatrics. Kathryn Douglass is licensed in Minnesota.
Specialties and state licenses
- Pediatric nurse practitioner, MinnesotaPrimary
Pediatric nurse practitioners near Kathryn Douglass
Counts of pediatric nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Kathryn Elizabeth Douglass' patients have a median age of 4
Across all payers, Dmand AI patient panel data puts Kathryn Douglass' median patient age at 4, with 56% women.
Kathryn Douglass' patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 4
Patient panel by sex, all payers
- Women56%
- Men44%
Source: Dmand AI Patient Panel Data
Sources for Kathryn Elizabeth Douglass's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Kathryn Elizabeth Douglass
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Kathryn Elizabeth Douglass' NPI number?
Kathryn Elizabeth Douglass' NPI number is 1497043954. It was assigned on July 19, 2011, and it is active in the NPI Registry.
What does Kathryn Elizabeth Douglass specialize in?
Kathryn Elizabeth Douglass is a pediatric nurse practitioner in Maple Grove, Minnesota. The primary specialty in the NPI Registry is Pediatric Nurse Practitioner (taxonomy code 363LP0200X).
Where does Kathryn Elizabeth Douglass practice?
Kathryn Douglass practices at 12000 Elm Creek N Blvd, Maple Grove, MN 55369. Kathryn Douglass' primary practice is South Lake Pediatrics in Maple Grove, Minnesota. Dmand AI also links Kathryn Douglass to 1 group practice or clinic.
What is Kathryn Elizabeth Douglass' office phone number?
The practice phone on file for Kathryn Douglass is (952) 401-8300.
What is Kathryn Elizabeth Douglass' medical license number?
Kathryn Douglass holds Minnesota license 20102395.
What medical group is Kathryn Elizabeth Douglass part of?
Kathryn Douglass is linked to South Lake Pediatrics.
How long has Kathryn Elizabeth Douglass been practicing?
Kathryn Douglass' NPI was assigned in 2011.
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