Katelynn Genevieve Dougherty Soper, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R192850 Issued in MD

Practice address

227 Saint Paul St
Baltimore, MD 21202-2001

Phone

(410) 783-5858

NPI assigned

Aug 1, 2021

Last updated

Aug 1, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lutherville Hematology and Oncology ServicesGroup PAC ID 6204005325, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008

Merit-based Incentive Payment System (MIPS)

Final score

79.13 of 100Reported as group

Quality

56.5

Promoting interoperability

100

Improvement activities

40

Cost

73.94

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdougherty47831@direct.mdmercy.com

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.

• Lutherville Hematology and Oncology Services

  • Hematology & Oncology Physician
  • Lutherville, MD
  • NPI 1538454228
  Medicare reassignment Care Compare group NPD
• St. Paul Place Specialists, Inc.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Baltimore, MD
  • NPI 1871549196
  Medicare reassignment NPD
• Saint Paul Place Specialists, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Baltimore, MD
  • NPI 1518913839
  NPD
• St Paul Place Specialists Inc

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1497707681
  NPD
• Saint Paul Place Specialists, Inc.

  • Physical Therapist
  • Baltimore, MD
  • NPI 1346292422
  NPD (past)
• St Paul Place Specialists, Inc.

  • Rheumatology Physician
  • Baltimore, MD
  • NPI 1497796775
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Medical Center Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1144282583
  Care Compare affiliation

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627776000000",
    "number": "1083387369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PATCHWORK CT",
            "city": "MONKTON",
            "state": "MD",
            "postal_code": "211111604",
            "telephone_number": "443-829-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 SAINT PAUL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022001",
            "telephone_number": "410-783-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY SOPER",
        "first_name": "KATELYNN",
        "middle_name": "GENEVIEVE",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-01",
        "last_updated": "2021-08-01",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R192850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdougher@mdmercy.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "227 Saint Paul St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212022001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hailey Lynn Dotterer, PHD
• Richard Doty, PH.D.
• Double Care ABA MD LLC
• Heather Lynn Dougan, LCSW-C
• Maria Doughan, DDS, MS
• Christine Cascio Dougherty
• Heather Dougherty, NP
• James Labhras Dougherty
• Wyatt Dougherty
• Doughty Podiatry, P.a.

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.