Active NPI
Deborah Dougherty, CRNP
- Family Nurse Practitioner
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP014514
- Practice address
- 2510 Bona Rd
Wilmington, DE 19810-2220 - Phone
- (302) 893-2216
- Fax
- (215) 707-4328
- NPI assigned
- Dec 3, 2014
- Last updated
- Dec 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | SP014514 | PA | Primary |
Addresses
Primary practice location
2510 Bona Rd
Wilmington, DE 19810-2220
Mailing address
2510 Bona Rd
Wilmington, DE 19810-2220
Phone (302) 893-2216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
48 A E Ridge Pike
Conshohocken, PA 19428-2117
Phone (484) 243-6735
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP014514 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Cardiovascular Associates, P.a. | Current | Accepting new patients | |
| Christiana Care Quality Partners | Current | Accepting new patients | |
| MHP MD PLLC | Current | Accepting new patients | |
| Geriatric Medicine Consultants PA | Current | Accepting new patients | |
| Pennsylvania Urgent Care Centers, PLLC | Current | Accepting new patients | |
| Pennsylvania Urgent Care Centers, PLLC | Current | Accepting new patients | |
| Cardiology Physicians, LLC | Current | Accepting new patients | |
| Christiana Care Quality Partners | Past | Accepting new patients |
Locations
121 Becks Woods Dr
Ste 200
Bear, DE 19701
Phone (302) 220-6955
200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701
1403 Foulk Rd
Ste 101
Wilmington, DE 19803
Phone (302) 661-7676
1601 Milltown Rd
Ste 2
Wilmington, DE 19808
Phone (302) 463-6542
4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595
310 E Pulaski Hwy
Elkton, MD 21921
Phone (443) 485-6213
101 North East Plz
North East, MD 21901
Phone (410) 543-2020
5024 Pennell Rd
Aston, PA 19014
Phone (484) 456-1257
400 Fayette St
Ste 180
Conshohocken, PA 19428
Phone (484) 243-6622
48 E Ridge Pike
#A
Conshohocken, PA 19428
Phone (484) 243-6730
150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060
300 Old Forge Ln
Ste 302
Kennett Square, PA 19348
Phone (484) 778-8000
180 W Girard Ave
Ste 108
Philadelphia, PA 19123
Phone (267) 319-8047
2401 W Cheltenham Ave
Ste 132
Wyncote, PA 19095
Phone (215) 935-6777
Interoperability endpoints
- deborah.dougherty.p3@direct.chv.nextgenshare.com
Organizations & group practices 8
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.
-
dba ChristianaCare GoHealth Urgent Care
- Urgent Care Clinic/Center
- Newark, DE
- NPI 1164061867
MD
-
- Cardiovascular Disease Physician
- Wilmington, DE
- NPI 1073567418
-
- Internal Medicine Physician
- Greenville, DE
- NPI 1598031643
-
dba AFC Urgent Care
- Urgent Care Clinic/Center
- Downingtown, PA
- NPI 1902128721
-
- Urgent Care Clinic/Center
- West Chester, PA
- NPI 1629625652
-
dba ChristianaCare GoHealth Urgent Care
- Urgent Care Clinic/Center
- Wilmington, DE
- NPI 1881367332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1447657630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 BONA RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198102220",
"telephone_number": "302-893-2216",
"fax_number": "215-707-4328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 BONA RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198102220",
"telephone_number": "302-893-2216",
"fax_number": "215-707-4328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "DEBORAH",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-03",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP014514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.