RACHEL ELLEN DOUGHERTY


Address: 350 W 11th St Rm 4083, Indianapolis, IN 46202
Phone: 3174916213

RACHEL ELLEN DOUGHERTY (NPI# 1043740483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043740483
Entity Type Individual
Full Name RACHEL ELLEN DOUGHERTY
Other Name RACHEL ELLEN ROMINGER
Credential MD
Practice Address 350 W 11th St Rm 4083
Indianapolis
IN 46202
Mailing Address 947 Prospect St # Up
Indianapolis
IN 46203-1811
Practice Telephone 3174916213
Mailing Telephone 3174504435
Enumeration Date 2017-06-18
Last Update Date 2019-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program 11019499A IN Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
IN 11019499A 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
350 W 11th St Rm 4083, Indianapolis, IN 46202 3174916213

Other Providers RACHEL DOUGHERTY

NPI Name Taxonomy Address Enumeration
1932689858 Rachel Dougherty Occupational Therapy Assistant 500 W 3rd Ave Ste 6, Corsicana, TX 75110-4564 2018-08-20
1730368556 Rachel A Dougherty Nurse Practitioner 200 Hawkins Dr, Iowa City, IA 52242-1009 2007-10-29

Office Location

Street Address 350 W 11TH ST RM 4083
City INDIANAPOLIS
State IN
Zip Code 46202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720405814 Jared Cobb Pathology 350 W 11th St Rm 4083, Indianapolis, IN 46202-4108 2014-03-26
1053930487 Ahmad Mahmoud Alkashash Student in an Organized Health Care Education/Training Program 350 W 11th St Rm 4083, Indianapolis, IN 46202-4108 2020-04-15
1154884187 Christopher Quinn Miller Student in an Organized Health Care Education/Training Program 350 W 11th St Rm 4083, Indianapolis, IN 46202-4108 2019-04-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386886 Sara Brooke Horn Registered Nurse 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 2020-11-04
1013521905 Zachary Camden Grimes Registered Nurse 720 Eskenazi Avenute, Indianapolis, IN 46202 2020-09-08
1790314045 Scott C Mitchell II Student in an Organized Health Care Education/Training Program Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 2020-04-07
1053940676 James Patrick Kelly Iv Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 2020-04-06
1124657697 Betsy Wilson Stevens Student in an Organized Health Care Education/Training Program 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 2020-04-06
1093340580 Brian T Edmonds Social Worker Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 2020-03-05
1326683210 Lindsay Nicole Rich Nurse Practitioner 1800 N Senate Ave, Indianapolis, IN 46202 2019-11-14
1427693670 Ronald Mcdonald House Charities of Central Indiana Voluntary or Charitable 435 Limestone Street, Indianaplois, IN 46202 2019-11-12
1790344760 Kirsten Denise Leaberry Student in an Organized Health Care Education/Training Program Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 2019-06-12
1679138093 Chris Olson Jr. Student in an Organized Health Care Education/Training Program 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 2019-05-02
Find all providers in zip 46202

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255938197 Christopher Rodney West Student in an Organized Health Care Education/Training Program 8616 Burrell Ln, Indianapolis, IN 46256-6306 2020-10-05
1285241828 Paris Janee Avant Student in an Organized Health Care Education/Training Program 8926 Mario Creek Dr, Indianapolis, IN 46234 2020-09-28
1992318158 Maria Yvette Borden Student in an Organized Health Care Education/Training Program University of Indianapolis, Health Pavilion 253, Indianapolis, IN 46217 2020-08-27
1457963563 Janelle M Bonitati Student in an Organized Health Care Education/Training Program 914 E 50th St, Indianapolis, IN 46205-1112 2020-08-19
1629688718 Krisha Anne Retherford Student in an Organized Health Care Education/Training Program 4548 Sundance Trl, Indianapolis, IN 46239-9716 2020-08-04
1740806132 Vanessa Renee Ianson Student in an Organized Health Care Education/Training Program 325 Bangor Dr, Indianapolis, IN 46227-2423 2020-06-22
1881219475 Stephanie Scalf Student in an Organized Health Care Education/Training Program 4912 E 69th St, Indianapolis, IN 46220-3826 2020-06-10
1831719863 Austin Martin Henderson Student in an Organized Health Care Education/Training Program 1520 N Senate Ave Dept Of, Indianapolis, IN 46202-2213 2020-04-20
1194344572 Kaitlyn Edwards Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr # 5837, Indianapolis, IN 46202-5109 2020-04-15
1700405347 Russell Reed Student in an Organized Health Care Education/Training Program 1120 W Michigan St Ste 630, Indianapolis, IN 46202-5209 2020-04-14
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46202

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Dataset Information

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.

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