Laura Dougherty

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

452D9BF23F Issued in CA

Practice address

590 Antelope Blvd
Red Bluff, CA 96080-2474

Phone

(530) 440-2948

NPI assigned

Dec 5, 2025

Sex

Female

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

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1063375087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 348",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960730348",
            "telephone_number": "530-440-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 ANTELOPE BLVD",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802474",
            "telephone_number": "530-440-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "452D9BF23F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dignity Health St. Elizabeth Community Hospital
• Dale Dimascio, PSY.D.
• Danielle Dionne Dixon, D.O., M.P.H.
• CHI DO
• Riico Joseph Noriega Dotson, MD
• Ronda Jo Dougherty
• Russell Wayne Doyle, PA
• Dr Heidi C Mist MD Inc
• Dr. Clarence W. Winning, M.D., Inc.
• Drena Rae Drane

• Health & Wellness Coach in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.