Active NPI
Jennifer Anne Doherty, OTR
- Specialist
- North Andover, MA
National Provider Identifier
1124301296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9518
- Practice address
- 1801 Turnpike St
North Andover, MA 01845-6322 - Phone
- (978) 387-4491
- NPI assigned
- Sep 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9518 | MA | Primary |
| Specialist | 174400000X | 2038 | NH |
Addresses
Primary practice location
1801 Turnpike St
North Andover, MA 01845-6322
Mailing address
1801 Turnpike St
North Andover, MA 01845-6322
Phone (978) 387-4491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316822400000",
"number": "1124301296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 TURNPIKE ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018456322",
"telephone_number": "978-387-4491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 TURNPIKE ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018456322",
"telephone_number": "978-387-4491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-24",
"last_updated": "2011-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "9518",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NH",
"license": "2038",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.