COLLEEN DAUGHERTY (NPI# 1659359412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659359412 |
| Entity Type | Individual |
| Full Name | COLLEEN DAUGHERTY |
| Practice Address |
149 Hart St 82 Medical Group/credentials Sheppard Afb TX 76311-3477 |
| Mailing Address |
3509 Copperas Cv Wichita Falls TX 76310-1121 |
| Practice Telephone | 9406766960 |
| Mailing Telephone | 9406925446 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | OT3334 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MILITARY | VAD 000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881767788 | Colleen Ann Daugherty | Social Worker | 1832 Soscol Ave Ste 105, Napa, CA 94559-1350 | 2006-11-16 |
| 1588957807 | Colleen Daugherty | Physician Assistant | 1145 Olentangy River Rd Ste 2100, Columbus, OH 43212-3117 | 2011-05-19 |
| 1588724421 | Colleen Daugherty | Counselor | 1306 11th Ave, Greeley, CO 80631-3835 | 2006-12-11 |
| Street Address |
149 HART ST 82 MEDICAL GROUP/CREDENTIALS |
| City | SHEPPARD AFB |
| State | TX |
| Zip Code | 76311-3477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336133123 | George Munkachy | Psychologist | 149 Hart St, 82nd Mdos/sgoh, Sheppard Afb, TX 76311-3477 | 2005-09-07 |
| 1861027476 | Taylor J Morgan | Pharmacist | 149 Hart St, Sheppard Afb, TX 76311-3430 | 2020-03-04 |
| 1538721196 | Jennifer Eileen Brown | Nurse Practitioner | 149 Hart St, Sheppard Afb, TX 76311-3430 | 2019-07-03 |
| 1174094551 | Tiffany Machelle Esparza | Social Worker | 149 Hart St, Sheppard Afb, TX 76311-3430 | 2018-12-11 |
| 1235641713 | Natalie Mounts | Pharmacist | 149 Hart St, Sheppard Afb, TX 76311-3430 | 2017-10-24 |
| 1730603978 | Kelly Lynn Hall | Physician Assistant | 149 Hart St, 82nd Mdos/sgop Family Practice, Sheppard Afb, TX 76354 | 2017-07-31 |
| 1588199129 | Julie Ojongofu | Pharmacist | 149 Hart St, 82 Mdg, Sheppard Afb, TX 76311-3430 | 2017-04-20 |
| 1437604469 | Marland Fox | Physician Assistant | 149 Hart St, Bldg 1200, Sheppard Afb, TX 76311-3430 | 2016-08-19 |
| 1386019669 | Matthew Robertson | Physical Therapist | 149 Hart St, Sheppard Afb, TX 76311-3430 | 2015-12-11 |
| 1265818512 | Helena Guerra | Nurse Practitioner | 149 Hart St, Sheppard Afb, TX 76311-3430 | 2015-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740792076 | Hunter Tristan Justice Ferguson | Military Health Care Provider | 527 I Ave Unit 72, Sheppard Afb, TX 76311 | 2017-10-26 |
| 1588083356 | Keenan David Atwood | Emergency Medicine | 145 Hart St, Aerospace Medicine Clinic, Sheppard Afb, TX 76311 | 2014-04-09 |
| 1649525338 | Austin Douglas Solomons | Social Worker | 82 Medical Group, 149 Hart Street, Sheppard Afb, TX 76311 | 2012-07-18 |
| 1700162831 | Kristina Marie Zuccarelli | Student in an Organized Health Care Education/Training Program | 132 Hart Street, Sheppard Afb, TX 76311 | 2011-11-03 |
| 1679859367 | Brandon William Keyser | Dentist | 82 Dental Squadron/sgd, 149 Hart St Ste 4, Sheppard Afb, TX 76311 | 2011-10-26 |
| 1437456373 | Jennifer Leigh Noblin | Military Health Care Provider | Sheppard Afb Mental Health Clinic, 149 Hart St. Bldg 1200, Wichita Falls, TX 76311 | 2011-02-11 |
| 1336450444 | Allen Chan | Dentist | 82nd Medical Group (aetc) Pas: Sq0jfb5d, Sheppard Afb, Apo, AA 76311 | 2010-06-24 |
| 1003140344 | Christopher Shawn Couch | Military Health Care Provider | 718 I Ave 82 Mss/dpf, Bldg 1900 Dept Xufb, Sheppard Afb, TX 76311 | 2009-09-18 |
| 1124255583 | Danny Lee Dennis Jr. | Military Health Care Provider | 939 Missile Road Bld 1900, Wichita Falls, TX 76311 | 2009-06-12 |
| 1902008980 | Jason West Cromar | Military Hospital | 149 G W Hart St., Bldg. 1200, 82 Mdg/sgp, Sheppard Afb, TX 76311 | 2007-06-01 |
| Find all providers in zip 76311 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457558751 | Larry Wayne Groves | Military Health Care Provider | 149 Hart St, 82d Medical Group - Sgh, Sheppard Afb, TX 76311-3477 | 2007-06-29 |
| 1235115452 | George Jay Scherer | Military Health Care Provider | 149 Hart St, 82 Medical Group/credentials, Sheppard Afb, TX 76311-3482 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805454 | Tri Huynh Minh Nguyen | Military Health Care Provider | 7826 Enchanted Cliff Dr, El Paso, TX 79911-7508 | 2020-09-10 |
| 1700355237 | William Christopher Petty | Military Health Care Provider | 21227 Torch Street, Biggs Field, TX 79918 | 2018-11-14 |
| 1346629094 | Grada Berry | Military Health Care Provider | 2520 Heather Brook Ln Apt 804, Arlington, TX 76006-5177 | 2015-05-28 |
| 1215323514 | Kathleen Schurr | Military Health Care Provider | 47th Medical Group, Laughlin Afb, TX 78840 | 2015-04-13 |
| 1639518616 | Treble Clef Technologies | Military Health Care Provider | 3233 Tomahawk St, El Paso, TX 79936-2315 | 2013-06-23 |
| 1679837355 | Jeffrey Hoffmann | Military Health Care Provider | 1640 N Zaragoza Rd, Apt 118, El Paso, TX 79936-8004 | 2012-06-27 |
| 1194022566 | William Resto-rivera | Military Health Care Provider | J Street Bldg 3000, Federal Medical Center Carswell, Fort Worth, TX 76127-0066 | 2011-02-22 |
| 1437456373 | Jennifer Leigh Noblin | Military Health Care Provider | Sheppard Afb Mental Health Clinic, 149 Hart St. Bldg 1200, Wichita Falls, TX 76311 | 2011-02-11 |
| 1609179159 | Verisha Virginia Dixon | Military Health Care Provider | 81945 Fm 2252 Ste 115, Cheroke Medical Services, Garden Ridge, TX 78266 | 2010-12-06 |
| 1215190004 | Joni Patricia Gumban | Military Health Care Provider | 409 Greene St, Webster, TX 77598-6701 | 2008-07-02 |
| Find all providers with the same taxonomy | ||||
| City | SHEPPARD AFB |
| Zip Code | 76311 |
Please comment or provide details below to improve the information on COLLEEN DAUGHERTY.
| 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.