Active NPI
Virginia Bowers Doherty, RN/NP
- Gerontology Nurse Practitioner
- Lowell, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- RN285090
- Practice address
- 295 Varnum Ave
Lowell, MA 01854-2134 - Phone
- (978) 942-2064
- Fax
- (978) 942-2068
- NPI assigned
- Dec 7, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1417485541
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- LGH Medical Group, Inc.
Practice addresses (Care Compare)
295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 788-7344
Hospital & facility affiliations
- Lowell General Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110315000983 | MA | Practitioner - Nurse Practitioner | 6204018070 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LGH Medical Group, Inc. | Current | Accepting new patients | |
| LGH Professional Services LLC | Past | Accepting new patients |
Locations
275 Varnum Ave
Ste 102
Lowell, MA 01854
Phone (978) 942-2064
295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344
1 Hospital Dr
Lowell, MA 01852
Phone (978) 687-0156
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN285090 | MA | |
| Gerontology Nurse Practitioner | 363LG0600X | RN285090 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
295 Varnum Ave
Lowell, MA 01854-2134
Mailing address
295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 942-2064
Other names 1
NPPES NPI Registry- Virginia Leigh Bowers
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2020.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1366745796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542134",
"telephone_number": "978-942-2064",
"fax_number": "978-942-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542134",
"telephone_number": "978-942-2064",
"fax_number": "978-942-2068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "VIRGINIA",
"middle_name": "BOWERS",
"credential": "RN/NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-07",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN285090",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "RN285090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VIRGINIA",
"last_name": "BOWERS",
"middle_name": "LEIGH",
"credential": "APN-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.