Dianne Barbara Dougherty, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2017026718 Issued in NY

Practice address

50 Penbroke Ave
Staten Island, NY 10301-2061

Phone

(718) 986-7674

NPI assigned

Nov 10, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ddougherty39152@mskcc.direct-ci.com

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

{
    "created_epoch": "1541808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541808000000",
    "number": "1134697808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PENBROKE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012061",
            "telephone_number": "718-986-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PENBROKE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012061",
            "telephone_number": "718-986-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "DIANNE",
        "middle_name": "BARBARA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-10",
        "last_updated": "2018-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "2017026718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christos Dean Dossa, MD
• Gina Dossantos, MS, CNSCANDIDATE
• Anna Dosso, RPH
• Thomas S. Doty, P.A.
• Double R Consulting
• Meghan Dougherty, RN
• Douglas E Menikheim MD Jeffrey S Kalman MD & C Yiachos MD PC
• Jade Douglas
• Melanie Douglas, PA-C
• Patricia Douglas, MS

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2018; 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.