Diane Elaine Doherty

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN 3801 Issued in CA

Practice address

9098 W Ridge Line LN
Coeur D Alene, ID 83814-9103

Phone

(208) 651-2186

Fax

(208) 769-7960

NPI assigned

Feb 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Diane Elaine Emley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1609108265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9098 W. RIDGE LINE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838149103",
            "telephone_number": "208-651-2186",
            "fax_number": "208-769-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9098 W RIDGE LINE LN",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838149103",
            "telephone_number": "208-651-2186",
            "fax_number": "208-769-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "DIANE",
        "middle_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 3801",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "ID",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "EMLEY",
            "middle_name": "ELAINE",
            "credential": "L.V.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sydney Elizabeth Disselkamp, FNP
• Helena Ann Ditko, LCSW
• Logan Ditto, DDS
• Michael A Dixon, M.D.
• Elaine M Dodson, CADC/LMS
• Kieran Doherty, PA-C
• Gayle Dohrman
• Evan Jacobb Dole, PA
• Don J Schmitt MD
• Lucretia M Donahue Reed, LCPC

• Licensed Vocational Nurse in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Licensed Vocational Nurse in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.