Active NPI
Rhiannon Doherty, PA-C
- Physician Assistant
- Stoneham, MA
National Provider Identifier
1033071253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 25 Fellsmere Ave
Stoneham, MA 02180-1453 - Phone
- (339) 234-3643
- NPI assigned
- Nov 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA | Primary |
Addresses
Primary practice location
25 Fellsmere Ave
Stoneham, MA 02180-1453
Mailing address
25 Fellsmere Ave
Stoneham, MA 02180-1453
Phone (339) 234-3643
Other names 1
- Rhiannon Hodlin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260408002195 | MA | Order and Referring Only - Cardiac Surgery | 3072088962 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1033071253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 FELLSMERE AVE",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021801453",
"telephone_number": "339-234-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 FELLSMERE AVE",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021801453",
"telephone_number": "339-234-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "RHIANNON",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-25",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RHIANNON",
"last_name": "HODLIN",
"credential": "PA-C",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Stoneham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.