MARY ELLEN DOHERTY (NPI# 1013070077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013070077 |
| Entity Type | Individual |
| Full Name | MARY ELLEN DOHERTY |
| Other Name | MARY ELLEN TARDIFF |
| Credential | RN |
| Practice Address |
401 Cypress St Manchester NH 03103-3628 |
| Practice Telephone | 6036684111 |
| Mailing Telephone | 6036684111 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
030792-21 | NH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | BLUE CROSS | 7706660Y0NH01 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124509203 | Mary Katherine Doherty | Counselor | 54 Plymouth Ave, Swampscott, MA 01907-1143 | 2018-08-27 |
| 1295116796 | Mary Doherty | Counselor | 28922 Lorain Rd Ste 100, North Olmsted, OH 44070-4053 | 2015-06-11 |
| 1700149291 | Mary Doherty | Early Intervention Provider Agency | 68 Fitchburg St, Bay Shore, NY 11706-4638 | 2012-06-19 |
| 1720371842 | Mary Debra Doherty | Developmental Therapist | 4456 N Sawyer Ave, Chicago, IL 60625-4513 | 2011-05-23 |
| 1265708390 | Mary Caitlin Doherty | Counselor | 609 N Shore Dr, Bellingham, WA 98226-4414 | 2012-03-22 |
| 1043507619 | Mary M Doherty | Counselor | 157 Green St, Jamaica Plain, MA 02130-2667 | 2011-07-05 |
| 1427367606 | Mary Teresa Doherty | Acupuncturist | 308 W Baseline Rd, Lafayette, CO 80026-1719 | 2010-10-05 |
| 1871801233 | Mary Dolores Doherty | Nurse Practitioner | 243 Charles Street, Anesthesia Department, Boston, MA 02114 | 2010-09-20 |
| 1255479564 | Mary K. Doherty | Counselor | 8540 Verree Rd, Philadelphia, PA 19111-1325 | 2007-02-01 |
| 1578540589 | Mary E. Doherty | Nurse Practitioner | 1221 Main St, South Weymouth, MA 02190-1561 | 2005-12-30 |
| Street Address |
401 CYPRESS ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475193 | Marquise Kendrick | Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2020-10-26 |
| 1124625819 | Ashley Nicole Purugganan | Social Worker | 401 Cypress St, Manchester, NH 03103-3628 | 2020-10-06 |
| 1609482124 | Emily Irene Hebert | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2020-09-21 |
| 1033725841 | Sydney Ellen Greeno | Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2020-09-17 |
| 1932715794 | Gillian L Savitch | Counselor | 401 Cypress St, Manchester, NH 03103-3628 | 2020-09-17 |
| 1891300117 | Kaley Morgan Michaels | Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2020-09-14 |
| 1023622248 | Inga Renzulli | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2020-09-04 |
| 1487267084 | Ava Aurora Parr | Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2020-08-25 |
| 1043829443 | Ashley Ann Gregory | Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2020-07-31 |
| 1467070870 | Dawn Elise Laroche | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
| 1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
| 1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
| 1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| Find all providers in zip 03103 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194364588 | Cynthia Ekwutife | Registered Nurse | 2504 Highcrest Ct, Manchester, MD 21102-1413 | 2020-01-02 |
| 1205105608 | Jennie K Mcneil | Registered Nurse | 964 Western Ave, Manchester, ME 04351-3406 | 2011-12-14 |
| 1518031160 | Matthew Lemaster | Registered Nurse | 444 Center Street, Manchester, CT 06040-3926 | 2006-11-17 |
| 1609482124 | Emily Irene Hebert | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2020-09-21 |
| 1023622248 | Inga Renzulli | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2020-09-04 |
| 1467070870 | Dawn Elise Laroche | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2020-07-13 |
| 1629696034 | Olivia Rose Stalaboin | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2020-07-13 |
| 1992322911 | Hannah Theis Lavery | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2020-06-26 |
| 1003435611 | Joshua Danley | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2020-04-14 |
| 1891314407 | Maria C. Slobig | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2020-04-14 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03103 |
Please comment or provide details below to improve the information on MARY ELLEN DOHERTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.