Jordyn Dougherty, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN 682678 Issued in CA

Practice address

1330 N Indian Canyon Dr
Palm Springs, CA 92262-4880

Phone

(760) 322-9065

NPI assigned

Aug 5, 2016

Last updated

Aug 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• WCHS, Inc

  dba Bellingham Treatment Solutions

  • Methadone Clinic
  • Bellingham, WA
  • NPI 1811592116
  NPD (past)

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1083168298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44599 SORRENTO CT",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922608563",
            "telephone_number": "760-609-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624880",
            "telephone_number": "760-322-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "JORDYN",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 682678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine M Dominguez, LVN
• Don R. Scott MD. a Medical Corporation
• Megan Donnelly
• Vivian Lilian Dortch
• Alyssa Doty
• Douglas J. Roger M.D.,Inc., a Professional Corporation (Orthopedic Institute of Coachella Valley)
• Dower Corporation
• Dr Bradley Wolff D C a Professional Chiropractic Corporation
• Dr Gerardo B. Martin, Inc a Professional Corporation
• Dr Marupuru a Professional Corporation

• Licensed Vocational Nurse in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.