Joan Daughton, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

23375 Issued in NE

Practice address

11235 Davenport St Ste 101
Omaha, NE 68154-2690

Phone

(402) 251-5115

Fax

(866) 272-0225

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: omahachildandadolescentpsychiatry.joandaughton@153626.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Omaha Child and Adolescent Psychiatry, LLC

  • Psychiatry Physician
  • Omaha, NE
  • NPI 1801785282
  NPD Authorized official
• Lutheran Family Services of NE, Inc

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1639121726
  NPD (past)
• Unmc Physicians

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1417912114
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1730306549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11235 DAVENPORT ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542690",
            "telephone_number": "402-251-5115",
            "fax_number": "866-272-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11235 DAVENPORT ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542690",
            "telephone_number": "402-251-5115",
            "fax_number": "866-272-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHTON",
        "first_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "23375",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NE",
            "license": "23375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Joseph Daugherty, M.D.
• Sarah Beth Daugherty
• Shonnic Daugherty
• Jateyana Daughtery-Drummond
• Detra Daughtery
• Kari Dauner, PLMHP
• Janki Janak Dave
• Davenport Surgical LLC
• Amanda Elizabeth Davenport
• Josephine M Davenport, COTA

• Child & Adolescent Psychiatry Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Child & Adolescent Psychiatry Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.