Elizabeth C O'Doherty, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2258901 Issued in MA

Practice address

1400 Computer Dr Ste 301
Westborough, MA 01581-1790

Phone

(617) 420-5316

NPI assigned

Sep 24, 2010

Last updated

Jan 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, RI, NY, NH, CT, ME, VT7 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 7

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians

Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians

Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians

Community Clinical Services IncGroup PAC ID 0042101099, shared by 14 NPIs, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary's Regional Medical Center Hospital, Lewiston, ME, CCN 200034
• Kent Regency Center Nursing home, Warwick, RI, CCN 415009
• Exeter Center Nursing home, Exeter, NH, CCN 305064
• Grand Islander Center Nursing home, Middletown, RI, CCN 415034
• Sandy River Center Nursing home, Farmington, ME, CCN 205069
• Oceanside Skilled Nursing and Rehabilitation Nursing home, Hampton, NH, CCN 305055

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.odoherty.p1@direct.fallonhealth.nextgenshare.com
• Direct secure messaging: eodoherty@landmarkhealth-direct.org
• Direct secure messaging: eodoherty2672345@direct.bsmhealth.org

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.

• Dr Rebman Medical PA

  • Family Medicine Physician
  • Miami, FL
  • NPI 1669276689

  CT, ME, NH, NY, RI

  Medicare reassignment Care Compare group NPD
• Ivy Medical Group PLLC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1700558798

  CT, ME, NH, RI, VT

  Medicare reassignment Care Compare group NPD
• Daniel Funsch Jr, M.D., P.C.

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1316784580

  CT, ME

  Medicare reassignment Care Compare group
• Visavis Health Care Medical Group of Ma PLLC

  • Family Medicine Physician
  • Danvers, MA
  • NPI 1053190223
  Medicare reassignment NPD
• Coos County Family Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Berlin, NH
  • NPI 1346242054
  Medicare reassignment NPD
• Dr Medical Services PC

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1053012401
  Medicare reassignment NPD
• Dr Rebman BH LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • New York, NY
  • NPI 1114894540

  CT, ME, NH, RI

  Medicare reassignment NPD
• Visavis Health Care Medical Group of CT LLC

  • Family Medicine Physician
  • West Hartford, CT
  • NPI 1275225864
  Medicare reassignment NPD
• Visavis Health Care Medical Group of Me PLLC

  • Family Medicine Physician
  • Westbrook, ME
  • NPI 1699556381
  Medicare reassignment NPD
• Visavis Health Care Medical Group of NH LLC

  • Family Medicine Physician
  • Concord, NH
  • NPI 1881477388
  Medicare reassignment NPD
• Coos County Family Health Services, Inc

  dba Coos County Family Health - Colebrook Site

  • Federally Qualified Health Center (FQHC)
  • Colebrook, NH
  • NPI 1659163434
  NPD
• Community Clinical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lewiston, ME
  • NPI 1164477568
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• 333 Green End Avenue Operations LLC

  dba Grand Islander Center

  • Skilled Nursing Facility
  • Middletown, RI
  • NPI 1083896815

  Nursing home

  Care Compare affiliation
• 660 Commonwealth Avenue Operations LLC

  dba Kent Regency Center

  • Skilled Nursing Facility
  • Warwick, RI
  • NPI 1790967529

  Nursing home

  Care Compare affiliation
• Farmington Operations, LLC

  dba Sandy River Center

  • Skilled Nursing Facility
  • Farmington, ME
  • NPI 1881756120

  Nursing home

  Care Compare affiliation
• St. Mary's Regional Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1447226584
  Care Compare affiliation
• Sunbridge Goodwin Nursing Home LLC

  dba Exeter on Hampton Care and Rehabilitation Center

  • Skilled Nursing Facility
  • Exeter, NH
  • NPI 1336196963

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1720397755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 SUMMER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205783",
            "telephone_number": "978-342-3457",
            "fax_number": "978-342-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COMPUTER DR STE 301",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811790",
            "telephone_number": "617-420-5316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Summer St",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "MA",
            "postal_code": "014205783",
            "country_code": "US",
            "telephone_number": "978-342-3457",
            "fax_number": "978-342-3659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Dorrance St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029032014",
            "country_code": "US",
            "telephone_number": "833-229-0957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DOHERTY",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2258901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohsen M Noreldin, MD
• Nasifa Nur, MD
• Syeda S Nuzhat, M.D.
• Cathleen M O'Brien, M.S.W
• William J. a. O'Brien, PSY.D
• Melanie Collins O'Leary, MS
• Katherine Lee O'Neill, LICSW
• Njideka Patricia Obijiaku, PMHNP
• So Min Oh, D.D.S.
• Lee Ann Oliver

• Family Nurse Practitioner in Westborough, MA
• Providers in Westborough, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.

Verify at the official NPI Registry.