Mary E. Doherty, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

105977 Issued in MA

Practice address

1221 Main St
South Weymouth, MA 02190-1561

Phone

(781) 340-1702

Fax

(781) 340-0931

NPI assigned

Dec 30, 2005

Last updated

Oct 22, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Norwell Visiting Nurse Association Inc

  • Home Health Agency
  • Norwell, MA
  • NPI 1043398498
  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1578540589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 MAIN ST",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901561",
            "telephone_number": "781-340-1702",
            "fax_number": "781-340-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MAIN ST",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901561",
            "telephone_number": "781-340-1702",
            "fax_number": "781-340-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "MARY",
        "middle_name": "E.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "105977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NP3038",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David M Denmark, M.D.
• Daniel Deppe
• Neil Himansu Desai, MS, PA-C
• Savitha Devi, MD
• Melissa Anne Dinunno, CNM
• Mario L Dominguez, MD
• Katelyn McGovern Dorney, MD
• Shannon Doucette, MS BCBA LABA
• Michael N Doupe, MD
• Kieran Dowley

• Nurse Practitioner in South Weymouth, MA
• Providers in South Weymouth, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.