Active NPI
Judith Emerson Dougherty
- Family Nurse Practitioner
- Albany, NY
National Provider Identifier
1720473143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F339946-1
- Practice address
- 43 New Scotland Avenue
Albany, NY 12208 - Phone
- (518) 262-3125
- Fax
- (518) 262-4415
- NPI assigned
- Apr 2, 2015
- 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 | F339946-1 | NY | Primary |
Addresses
Primary practice location
43 New Scotland Avenue
Albany, NY 12208
Mailing address
21041 Black Canyon Rd
Ramona, CA 92065-5412
Phone (760) 803-4942
Other names 1
- Miss Judith Margaret Emerson
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F339946-1 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1720473143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21041 BLACK CANYON RD",
"city": "RAMONA",
"state": "CA",
"postal_code": "920655412",
"telephone_number": "760-803-4942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 NEW SCOTLAND AVENUE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208",
"telephone_number": "518-262-3125",
"fax_number": "518-262-4415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "JUDITH",
"middle_name": "EMERSON",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-02",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F339946-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "EMERSON",
"middle_name": "MARGARET",
"prefix": "MISS",
"credential": "FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.