Active NPI
Emily Ann Doucette, NP
- Family Nurse Practitioner
- Gloucester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN271263
- Practice address
- 302 Washington St
Gloucester, MA 01930 - Phone
- (978) 282-8899
- Fax
- (978) 282-5599
- NPI assigned
- Mar 8, 2013
- Last updated
- Mar 12, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN271263 | MA | Primary |
Addresses
Primary practice location
302 Washington St
Gloucester, MA 01930
Mailing address
27 Congress St Ste 513
Salem, MA 01970-5523
Phone (978) 744-8388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110128092A | Medicaid | MA |
Other names 1
- Miss Emily Ann Dupont
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN271263 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current | Accepting new patients | |
| Healthquarters, Inc | Past | Accepting new patients |
Locations
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
Interoperability endpoints
- doucette.emily.nsmc@direct.partners.masshiway.net
- emily.doucette.1@7012.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
-
- Non-Surgical Family Planning Clinic/Center
- Beverly, MA
- NPI 1942866603
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
dba Salem Hospital
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
dba Spaulding Rehabilitation Hospital - Boston
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1700127263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 CONGRESS ST STE 513",
"city": "SALEM",
"state": "MA",
"postal_code": "019705523",
"telephone_number": "978-744-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 WASHINGTON ST",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "01930",
"telephone_number": "978-282-8899",
"fax_number": "978-282-5599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUCETTE",
"first_name": "EMILY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-08",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN271263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110128092A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "DUPONT",
"middle_name": "ANN",
"prefix": "MISS",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.