Active NPI
Alexa Starr Dougherty, CNM
- Advanced Practice Midwife
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Practice address
- 850 Harrison Avenue
FL 4, Yawkey BLDG
Boston, MA 02118 - Phone
- (617) 414-2000
- NPI assigned
- Apr 11, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 294219 | NC | |
| Registered Nurse | 163W00000X | CNM2300477 | MA | |
| Advanced Practice Midwife | 367A00000X | Primary |
Addresses
Primary practice location
850 Harrison Avenue
FL 4, Yawkey BLDG
Boston, MA 02118
Mailing address
801 Albany Street
FL G
Boston, MA 02119-3791
Other practice location 1
85 Herrick St
Beverly, MA 01915
Phone (978) 927-7880
Other practice location 2
226 Ashville Ave
Cary, NC 27518-6660
Phone (919) 852-1053
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNM2300477 | MA | MD | Registered Nurse |
| 294219 | NC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocie Health and Midwifery, PLLC | Advanced Practice Midwife | Current | Accepting new patients |
| Boston University Obstetrics and Gynecology Foundation, Inc. | Current | Accepting new patients | |
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Maternity Centers of America LLC | Past | Accepting new patients | |
| Baby and Company Cary 1 LLC | Past | Accepting new patients |
Locations
720 Harrison Ave
Ste 1105
Boston, MA 02118
Phone (617) 414-2000
850 Harrison Ave
Fl 4
Boston, MA 02118
Phone (617) 414-2000
801 Albany St
Fl G
Roxbury, MA 02119
Interoperability endpoints
- adougherty90819@direct.bmc.masshiway.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1063459568
-
- Advanced Practice Midwife
- Beverly, MA
- NPI 1396683488
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Birthing Clinic/Center
- Cary, NC
- NPI 1790173136
-
- Birthing Clinic/Center
- Cary, NC
- NPI 1841692977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1124551668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ALBANY STREET",
"address_2": "FL G",
"city": "BOSTON",
"state": "MA",
"postal_code": "021193791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HARRISON AVENUE",
"address_2": "FL 4, YAWKEY BLDG",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-414-2000"
}
],
"practiceLocations": [
{
"address_1": "85 Herrick St",
"address_purpose": "LOCATION",
"city": "Beverly",
"state": "MA",
"postal_code": "01915",
"country_code": "US",
"telephone_number": "978-927-7880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "226 Ashville Ave",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275186660",
"country_code": "US",
"telephone_number": "919-852-1053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "ALEXA",
"middle_name": "STARR",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-11",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "294219",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "CNM2300477",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.