STEPHANIE DOHERTY (NPI# 1023420528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023420528 |
| Entity Type | Individual |
| Full Name | STEPHANIE DOHERTY |
| Credential | AGNP |
| Practice Address |
55 Fruit St Blake 454 Boston MA 02114-2621 |
| Practice Telephone | 6177241477 |
| Practice Fax Number | 6177245997 |
| Mailing Telephone | 6177241477 |
| Mailing Fax Number | 6177245997 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2273518 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164719589 | Stephanie Doherty | Case Manager/Care Coordinator | 10301 Mayo Dr, Barling, AR 72923-1660 | 2011-07-06 |
| Street Address |
55 FRUIT ST BLAKE 454 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465888 | Michael A Nichols | Nurse Anesthetist, Certified Registered | 55 Fruit St, Boston, MA 02114-2696 | 2005-05-31 |
| 1740881374 | Katelyn Mary Bushey | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-11-02 |
| 1316546849 | Amy Lauren Greenblatt | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-26 |
| 1134728116 | Stephanie Qualls | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-21 |
| 1811596190 | Andrea S Hansen | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
| 1649879974 | Barbara Healy | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
| 1770181117 | Molly Cristina Reynolds | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-16 |
| 1245838325 | Katerina Eleni Kafkas | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-12 |
| 1578179040 | Vivian Ellen Donahue | Registered Nurse | 55 Fruit St, Boston, MA 02114-2696 | 2020-09-21 |
| 1699380956 | Joanne Gover | Registered Nurse | 55 Fruit St, Boston, MA 02114-2621 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1881230027 | Linda Marie Sabo | Nurse Practitioner | 300 Pier 4 Blvd Unit 4j, Boston, MA 02210-2644 | 2019-11-22 |
| 1417479940 | Sarah Jane Georgia | Nurse Practitioner | 165 Cambridge St Ste 301, Boston, MA 02114-2751 | 2017-07-17 |
| 1932597499 | Sheila Brown | Nurse Practitioner | 218 Humboldt Avenue, Boston, MA 02121 | 2015-01-06 |
| 1871902635 | Lindsy Mary Gusiora | Nurse Practitioner | 1 Brookline Ave Ste 105, Boston, MA 02215-3421 | 2014-08-06 |
| 1710308218 | Kristin Fleischmann-rose | Nurse Practitioner | 330 Brookline Ave Fl 5, Breastcare Center, Boston, MA 02215-5400 | 2013-12-31 |
| 1033546700 | Haidang Truong Kelly | Nurse Practitioner | 147 Milk St Fl 3, Boston, MA 02109 | 2013-09-26 |
| 1659620821 | Darlene Electa Sawicki | Nurse Practitioner | 55 Fruit Street, Bigelow 1256, Massachusetts General Hospital, Boston, MA 02114 | 2012-09-04 |
| 1710258371 | Megan Leahy Grady | Nurse Practitioner | 165 Cambridge St., Charles River Plaza 5th Floor Mgh Senior Health, Boston, MA 02114 | 2012-01-13 |
| 1568739480 | Ariel Leora Watriss | Nurse Practitioner | 1340 Boylston St Fl 8, Boston, MA 02215-4302 | 2011-11-21 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on STEPHANIE 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.