Individual provider Active NPI

Elizabeth Donaghey, NP

  • Adult Health Nurse Practitioner
  • Westport, MA
National Provider Identifier
1457313546
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
146212 Issued in MA
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NP2793OtherMABCBS-MA
0354121MedicaidMA
23954OtherRIBCBS-RHODE ISLAND
500023784OtherMARAILROAD MEDICARE
ED45782MedicaidRI

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

LicenseStateTypeSpecialty
146212MAMDAdult Health Nurse Practitioner
NPP25578RIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.