Jaime Louise Dougherty, MSN, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R48645 Issued in ND

Practice address

1604 Willow Vis
Round Rock, TX 78664-7937

Phone

(512) 694-0124

NPI assigned

Oct 1, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Jaime Louise Dougherty Professional name

Medicare fee-for-service enrollment

Enrolled in ND

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaimedougherty@normd.allscriptsdirect.net

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.

• Oakes Community Hospital

  • Clinic/Center
  • Oakes, ND
  • NPI 1477724433
  Medicare reassignment NPD
• St Joseph'S Hospital and Health Center

  • Clinic/Center
  • Dickinson, ND
  • NPI 1730464108
  Medicare reassignment NPD
• St Joseph'S Hospital and Health Center

  • Critical Access Hospital
  • Dickinson, ND
  • NPI 1992947956
  Medicare reassignment NPD
• Oakes Community Hospital

  • Critical Access Hospital
  • Oakes, ND
  • NPI 1598848517
  NPD
• St Joseph'S Hospital and Health Center

  • Rural Health Clinic/Center
  • Beach, ND
  • NPI 1669491262
  NPD
• St Josephs Hospital and Health Center

  • Orthopaedic Surgery Physician
  • Dickinson, ND
  • NPI 1225058217
  NPD
• Coal Country Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Beulah, ND
  • NPI 1942288329
  NPD (past)

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584230400000",
    "number": "1124669221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 WILLOW VIS",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647937",
            "telephone_number": "512-694-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 WILLOW VIS",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647937",
            "telephone_number": "512-694-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "JAIME",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2020-03-15",
        "certification_date": "2020-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143780",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R48645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL REGISTRY OF CERTIFIED MEDICAL EXAMINERS",
            "identifier": "1461364730",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "DOUGHERTY",
            "middle_name": "LOUISE",
            "prefix": "MRS.",
            "credential": "JAIME DOUGHERTY, FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Darrin H Dotson, O.D.
• Double Creek Assisted Living LP
• Kenedi Paige Doucet
• Doug Carlson Builder LLC
• Erin Dougher, D.O.
• Austin Douglas I, LAT
• Joslinn Douglas
• Lauren Douglas, M.D.
• Nidhi Parsotam Dover, PA-C
• Cansas Eve Dowell

• Family Nurse Practitioner in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2020; 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.

Verify at the official NPI Registry.