Individual provider Active NPI

Kathryn Doherty, CNP

  • Women's Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1629437116
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN281235 Issued in MA
Practice address
360 Huntington Ave
135 Forsyth Building
Boston, MA 02115-5005
Phone
(617) 373-2772
Fax
(617) 373-2601
NPI assigned
Feb 12, 2016
Last updated
Feb 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN281235 MA Primary
Women's Health Nurse Practitioner 363LW0102X APRN00844 RI

Addresses

Primary practice location

360 Huntington Ave
135 Forsyth Building
Boston, MA 02115-5005

Mailing address

19 Cape Cod LN
Braintree, MA 02184-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN00844RIMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of Cape Cod Hospital CurrentSince Jan 13, 2020 Accepting new patients
Health Imperatives Inc. CurrentSince Jan 13, 2023 Accepting new patients
Citizens for Citizens, Inc. CurrentSince Sep 23, 2017 Accepting new patients
Health Imperatives Inc. CurrentSince Jan 13, 2023 Accepting new patients
Health Imperatives Inc. Current Accepting new patients
Citizens for Citizens, Inc. CurrentSince Sep 23, 2017 Accepting new patients

Locations

942 W Chestnut St
#46
Brockton, MA 02301
Phone (508) 583-3005

300 Hanover St
Ste 2E
Fall River, MA 02720
Phone (508) 673-2400

337 Hanover St
Fall River, MA 02720
Phone (508) 679-0198

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

35 Wilkens Ln
Hyannis, MA 02601
Phone (508) 862-5565

Organizations & group practices 6

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": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1629437116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CAPE COD LN",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021843611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 HUNTINGTON AVE",
            "address_2": "135 FORSYTH BUILDING",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155005",
            "telephone_number": "617-373-2772",
            "fax_number": "617-373-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "KATHRYN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN281235",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "RI",
            "license": "APRN00844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.