Active NPI
Elizabeth Donaghey, NP
- Adult Health Nurse Practitioner
- Westport, MA
National Provider Identifier
1457313546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 146212
- Practice address
- 829 Main Road
Westport, MA 02790-4394 - Phone
- (508) 636-5101
- Fax
- (508) 636-3651
- NPI assigned
- Apr 4, 2006
- Last updated
- Jul 9, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NPP25578 | RI | |
| Adult Health Nurse Practitioner | 363LA2200X | 146212 | MA | Primary |
Addresses
Primary practice location
829 Main Road
Westport, MA 02790-4394
Mailing address
829 Main Road
Westport, MA 02790-4394
Phone (508) 636-5101
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2793 | Other | MA | BCBS-MA |
| 0354121 | Medicaid | MA | |
| 23954 | Other | RI | BCBS-RHODE ISLAND |
| 500023784 | Other | MA | RAILROAD MEDICARE |
| ED45782 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146212 | MA | MD | Adult Health Nurse Practitioner |
| NPP25578 | RI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Bedford Medical Associates PC | Past | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Fairhaven, MA
- NPI 1093783417
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247097600000",
"number": "1457313546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 MAIN ROAD",
"city": "WESTPORT",
"state": "MA",
"postal_code": "027904394",
"telephone_number": "508-636-5101",
"fax_number": "508-636-3651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 MAIN ROAD",
"city": "WESTPORT",
"state": "MA",
"postal_code": "027904394",
"telephone_number": "508-636-5101",
"fax_number": "508-636-3651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONAGHEY",
"first_name": "ELIZABETH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2009-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "RI",
"license": "NPP25578",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "146212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MA",
"identifier": "NP2793",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0354121",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-RHODE ISLAND",
"identifier": "23954",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "500023784",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ED45782",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.