Sherry Lynn Doherty, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

28078391A Issued in IN

Practice address

1855 S Main St Ste C
Goshen, IN 46526-4853

Phone

(574) 364-2746

Fax

(574) 364-1460

NPI assigned

Aug 23, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Goshen Hospital Association Inc

  • General Acute Care Hospital
  • Goshen, IN
  • NPI 1740268846
  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1417474214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 S MAIN ST STE C",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264853",
            "telephone_number": "574-364-2746",
            "fax_number": "574-364-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 S MAIN ST STE C",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264853",
            "telephone_number": "574-364-2746",
            "fax_number": "574-364-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IN",
            "license": "28078391A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Dick, LCSW
• Jennifer Erin Dickey, MSN, PMHNP-BC
• Daniel A Diener, MD
• Eckhart Diestel, MD
• Djo, LLC
• Dr. Tony Espinas, LLC (Adjust 2 You Chiropractic)
• DRS. Cripe, Stephens & Stickel LLP
• Zachary H Dubois, DO
• Jessica Duckett
• Kaylan Dupre, PHARMD

• Diabetes Educator Registered Nurse in Goshen, IN
• Providers in Goshen, IN by specialty
• Diabetes Educator Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.