Colleen Doherty, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

NP-05704 Issued in OH

Practice address

7800 Jandaracres Dr
Cincinnati, OH 45248-2032

Phone

(513) 515-1751

Fax

(812) 432-5579

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Wound Care Specialists of Ohio LLC

  • Nurse Practitioner
  • Loveland, OH
  • NPI 1396938346
  NPD (past)
• Evercare Collaborative Solutions Inc

  • Registered Nurse
  • Minnetonka, MN
  • NPI 1285686378
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265652937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 CEDAR VIEW LN",
            "city": "AURORA",
            "state": "IN",
            "postal_code": "470019466",
            "telephone_number": "513-515-1751",
            "fax_number": "812-432-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 JANDARACRES DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452482032",
            "telephone_number": "513-515-1751",
            "fax_number": "812-432-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "COLLEEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "NP-05704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2501635",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Doerrer, LISW-S
• Kelsi Aimee Doerrer, OTD, OTR/L
• Margaret E. Doerzbacher, CNP
• Ali Ahsan Dogar, M.B.B.S
• Mia Doggett, R.PH.
• Emma Rose Doherty
• Grace O. Doherty
• Jessica Nicole Doherty, CDCA
• Joyce M. Dohme, CNP
• Rebecca Lynn Dohme

• Acute Care Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Acute Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.