Rebecca Doherty

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R217818 Issued in MD

Practice address

1126 Opal CT
Hagerstown, MD 21740-5940

Phone

(301) 788-0901

NPI assigned

Jun 21, 2023

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739
  Medicare reassignment NPD
• Opal Medical Group, P.a.

  • Internal Medicine Physician
  • Hagerstown, MD
  • NPI 1477639862
  Medicare reassignment NPD
• PA Post Acute Services PC

  • General Practice Physician
  • Masury, OH
  • NPI 1255057063

  MD

  Medicare reassignment NPD

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1235814682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 BELFORD DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023282",
            "telephone_number": "240-491-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 OPAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405940",
            "telephone_number": "301-788-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R217818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn Doak
• Haleigh Doane, WHNP-BC
• Danielle Pavlyn Dobbins, PA-C, MMS
• Miriam Oneida Dobson, PMHNP
• Seth David Dodson, LMSW
• Tricia Jane Doherty, MS, LCPC
• Elizabeth N Domanski, M.S. LCPC
• Allison Sue Domer, RN
• Paul Dong
• Erin Maureen Donoghue, PA-C

• Family Nurse Practitioner in Hagerstown, MD
• Providers in Hagerstown, 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 Jul 11, 2024; 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.