Active NPI
Catherine Doyle, FNP-C
- Family Nurse Practitioner
- Salem, MA
National Provider Identifier
1366840993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN277427
- Practice address
- 47 Congress Street
Salem Family Health Center
Salem, MA 01970 - Phone
- (978) 744-8388
- NPI assigned
- Dec 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN277427 | MA | Primary |
Addresses
Primary practice location
47 Congress Street
Salem Family Health Center
Salem, MA 01970
Mailing address
27 Congress St Ste 513
Salem, MA 01970-5523
Phone (978) 744-8388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110109409A | Medicaid | MA |
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 |
|---|---|---|---|---|
| I20170607000540 | MA | Practitioner - Nurse Practitioner | 6608143094 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN277427 | MA | MD | Family Nurse Practitioner |
Interoperability endpoints
- catherine.doyle.1@8561.direct.athenahealth.com
- cdoyle19143@direct.ctc.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1366840993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 CONGRESS ST STE 513",
"city": "SALEM",
"state": "MA",
"postal_code": "019705523",
"telephone_number": "978-744-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 CONGRESS STREET",
"address_2": "SALEM FAMILY HEALTH CENTER",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-744-8388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "CATHERINE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-14",
"last_updated": "2021-08-17",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN277427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110109409A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.