Individual provider Active NPI

Ann Doty, FNP

  • Family Nurse Practitioner
  • Mesquite, NV
National Provider Identifier
1356876866
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009451 Issued in NC
Practice address
1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027
Phone
(702) 346-0800
Fax
(702) 346-0801
NPI assigned
Apr 23, 2017
Last updated
Mar 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN002951 NV
Family Nurse Practitioner 363LF0000X 5009451 NC Primary

Addresses

Primary practice location

1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027

Mailing address

1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027-7503
Phone (702) 346-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, NC, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181012002134 NV Practitioner - Nurse Practitioner 3375895774 Reassigns benefits to 1 organization
I20191202001535 NC Practitioner - Nurse Practitioner 3375895774 Reassigns benefits to 1 organization
I20201207001705 KY Practitioner - Nurse Practitioner 3375895774 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, 213 clinicians
Brock Medical, LLCGroup PAC ID 9830354638, 93 clinicians

Practice addresses (Care Compare)

110 W John Rowan Blvd
Bardstown, KY 40004-2663
Phone (502) 337-7409

1475 Nashville Rd
Franklin, KY 42134-6961
Phone (615) 988-1571

270 Bypass Rd
Brandenburg, KY 40108-1743
Phone (270) 253-4050

333 S Main St
Leitchfield, KY 42754-1427
Phone (270) 200-4983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5009451NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Oct 18, 2024 Accepting new patients
Id Care(R) - Infectious Diseases Specialty Practice PA CurrentSince Sep 22, 2019 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Oct 18, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Oct 18, 2024 Accepting new patients
Emerus Nevada Inpatient Providers PLLC CurrentSince May 17, 2022 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Oct 18, 2024 Accepting new patients
Reliantmd Telehealth Group PLLC Past Accepting new patients

Locations

110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409

270 Bypass Rd
Brandenburg, KY 40108
Phone (270) 253-4050

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

333 S Main St
Leitchfield, KY 42754
Phone (270) 200-4983

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

1319 Avon St
Fayetteville, NC 28304
Phone (910) 729-6552

1550 W Craig Rd
Ste 100
North Las Vegas, NV 89032
Phone (702) 777-3615

8686 New Trails Dr
Ste 100
The Woodlands, TX 77381
Phone (713) 637-1004

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1492905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1356876866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE STE 1",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277503",
            "telephone_number": "702-346-0800",
            "fax_number": "720-346-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE STE 1",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "89027",
            "telephone_number": "702-346-0800",
            "fax_number": "702-346-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-23",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002951",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

Verify at the official NPI Registry.