Deborah Dougherty FNP LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DEBORAH DOUGHERTY FNP LLC

Practice address

5821 Staples Mill Rd
Richmond, VA 23228-5427

Phone

(804) 264-0966

NPI assigned

Jun 26, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Dougherty, MSN, FNP

Title

Nurse Practitioner

Phone

(585) 315-6441

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624665600000",
    "number": "1750951364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 STAPLES MILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285427",
            "telephone_number": "804-264-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 STAPLES MILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285427",
            "telephone_number": "804-264-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH DOUGHERTY FNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-26",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "585-315-6441",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2021; 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.