MR. NICHOLAS JAMES DOUGHERTY (NPI# 1164826384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164826384 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS JAMES DOUGHERTY |
| Credential | L.AC. |
| Practice Address |
2833 Chicago Ave S Minneapolis MN 55407-3799 |
| Mailing Address |
3339 Buchanan St Ne Minneapolis MN 55418-1449 |
| Practice Telephone | 6128633333 |
| Mailing Telephone | 6122426921 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2017-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 1668 | MN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616731 | Nicholas Xavier Dougherty | Physical Therapy Assistant | 118 Medical Dr, Carmel, IN 46032-3323 | 2020-07-07 |
| Street Address |
2833 CHICAGO AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-3799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113500 | Zoe Who Erickson | Acupuncturist | 5013 1/2 France Ave S, Minneapolis, MN 55410-2034 | 2020-01-08 |
| 1184263253 | Carrie Shannon Nightshade | Acupuncturist | 3706 E 42nd Street, Minneapolis, MN 55406 | 2020-01-06 |
| 1164060059 | Deborah Owen | Acupuncturist | 3706 E 42nd St, Minneapolis, MN 55406 | 2019-12-11 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1427609304 | Lingguang Liu | Acupuncturist | 2021 East Hennepin Ave, Suite 412, Minneapolis, MN 55413 | 2019-09-23 |
| 1679125595 | Meghan Mabe | Acupuncturist | 3641 10th Ave S Apt 1, Minneapolis, MN 55407-2192 | 2019-07-11 |
| 1063984110 | Amber Lee Moore | Acupuncturist | 3524 Elliot Ave, Minneapolis, MN 55407-2129 | 2018-12-28 |
| 1437637865 | Mallory E Carlson | Acupuncturist | 2545 Chicago Ave Ste G10, Minneapolis, MN 55404-4569 | 2018-07-28 |
| 1790281921 | Leah Fifield | Acupuncturist | 401 N 3rd St Ste 360, Minneapolis, MN 55401-1350 | 2018-04-05 |
| 1881196988 | Cynthia Peters Miller | Acupuncturist | 913 E 26th St Ste 402, Minneapolis, MN 55404-4515 | 2018-03-05 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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| 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.