Active NPI
Colleen Daugherty
- Military Health Care Provider
- Sheppard Afb, TX
National Provider Identifier
1659359412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- OT3334
- Practice address
- 149 Hart St
82 Medical Group/Credentials
Sheppard Afb, TX 76311-3477 - Phone
- (940) 676-6960
- NPI assigned
- Jan 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | OT3334 | FL | Primary |
Addresses
Primary practice location
149 Hart St
82 Medical Group/Credentials
Sheppard Afb, TX 76311-3477
Mailing address
3509 Copperas CV
Wichita Falls, TX 76310-1121
Phone (940) 692-5446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VAD 000 | Other | TX | MILITARY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT3334 | FL | MD | Military Health Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1659359412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3509 COPPERAS CV",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763101121",
"telephone_number": "940-692-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 HART ST",
"address_2": "82 MEDICAL GROUP/CREDENTIALS",
"city": "SHEPPARD AFB",
"state": "TX",
"postal_code": "763113477",
"telephone_number": "940-676-6960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUGHERTY",
"first_name": "COLLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "FL",
"license": "OT3334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MILITARY",
"identifier": "VAD 000",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sheppard Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.