Individual provider Active NPI

Laura Doherty, FNP

  • Family Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1417501214
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344729 Issued in NY
Practice address
375 Hooker Ave
Poughkeepsie, NY 12603-3627
Phone
(845) 454-5000
NPI assigned
Jul 30, 2019
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 344729 NY Primary

Addresses

Primary practice location

375 Hooker Ave
Poughkeepsie, NY 12603-3627

Mailing address

375 Hooker Ave
Poughkeepsie, NY 12603-3627
Phone (845) 454-5000

Other names 1

  • Laura Santiago Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200728002632 NY Practitioner - Nurse Practitioner 7810311594 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Medical Associates New York PC Current Accepting new patients
White Plains Physician Services PC CurrentSince Sep 21, 2021 Accepting new patients
Physicians Medical Associates New York PC CurrentSince Jul 1, 2024 Accepting new patients
Poughkeepsie Medical Group LLP CurrentSince Mar 27, 2020 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

375 Hooker Ave
Poughkeepsie, NY 12603
Phone (845) 454-5000

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

122 Maple Ave
White Plains, NY 10601
Phone (914) 285-9490

Organizations & group practices 5

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": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1417501214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 HOOKER AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033627",
            "telephone_number": "845-454-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 HOOKER AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033627",
            "telephone_number": "845-454-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "LAURA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SANTIAGO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.