Dona Mae Dougherty, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

253 Issued in AZ

Practice address

13820 N 51St Ave
#400
Glendale, AZ 85306-4885

Phone

(602) 938-2300

Fax

(602) 938-1724

NPI assigned

Jun 16, 2009

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 names 1

• Mrs. Dona Mae Maus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: dona.dougherty.p1@direct.itsofaz.nextgenshare.com

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1609003722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13820 N 51ST AVE",
            "address_2": "#400",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064885",
            "telephone_number": "602-938-2300",
            "fax_number": "602-938-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13820 N 51ST AVE",
            "address_2": "#400",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064885",
            "telephone_number": "602-938-2300",
            "fax_number": "602-938-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "DONA",
        "middle_name": "MAE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONA",
            "last_name": "MAUS",
            "middle_name": "MAE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dorsey W.Baker D.D.S. PLC
• Tyeshia Ann Dorsey
• Renee E Doss, O.D.
• Patrick Michael Dostal, D.D.S
• David A Doty, LMSW
• George Michael Dougherty III, DDS
• Rick M Dougherty, DDS, ABGD, NDBA
• Shireen D Dow, RD
• Nicole Dowd
• Winter M Dowland, D.O.

• Adult Health Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.