Jennifer Lynn Doughty, LPN

Key facts

NPI

1629430236

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

NURP6778 (AK)

Practice address

69222 Tipton Avenue
Anchor Point, AK 99556

Phone

(907) 756-3226

NPI assigned

Mar 23, 2016

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 23, 2016.

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1629430236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2090",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996032090",
            "telephone_number": "907-756-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69222 TIPTON AVENUE",
            "city": "ANCHOR POINT",
            "state": "AK",
            "postal_code": "99556",
            "telephone_number": "907-756-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHTY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AK",
            "license": "NURP6778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchor Point, AK

• Jeffrey James Bartley, DDS
• Brandon Astin DMD LLC
• Daniel E. Long, DDS, LLC
• Elizabeth S. Watney, LCSW
• Brittney Harshfield
• Jeffrey J. Bartley DDS
• David P Marshall
• Leone Morra

All providers in Anchor Point, AK · Licensed Practical Nurse in Alaska