Hans Prince Doherty Sr.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

00000000000000000000 Issued in MD

Practice address

10203 Grandhaven Ave
Upper Marlboro, MD 20772-6656

Phone

(443) 240-7072

NPI assigned

Oct 26, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Remedium Health Care Services

  • Home Health Agency
  • Hyattsville, MD
  • NPI 1073163259
  NPD (past) Authorized official
• Bridgeview Care Partner

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hyattsville, MD
  • NPI 1720945041
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1013429315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10203 GRANDHAVEN AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726656",
            "telephone_number": "443-240-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10203 GRANDHAVEN AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726656",
            "telephone_number": "443-240-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "HANS",
        "middle_name": "PRINCE",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-26",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "00000000000000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Djuedji Kameni
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• Cynthia N Dohbobga
• Nikeisa Artisha Dollard
• Dominion Home Healthcare Services LLC.
• Donavon Counseling Services
• Marius Gabin Donfack Fokou
• Isaac Donkoh, NP

• Licensed Practical Nurse in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Licensed Practical Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.