Carolyn Doughty, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

725188 Issued in CA

Practice address

915 Bryant St
San Francisco, CA 94103-4514

Phone

(415) 777-9953

Fax

(417) 777-4717

NPI assigned

May 30, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Fort Help LLC

  • Methadone Clinic
  • San Francisco, CA
  • NPI 1346444031
  NPD

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1790478428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 BRYANT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034514",
            "telephone_number": "415-777-9953",
            "fax_number": "417-777-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BRYANT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034514",
            "telephone_number": "415-777-9953",
            "fax_number": "417-777-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHTY",
        "first_name": "CAROLYN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "725188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronique Marguerite Doucet, MD, MENG, FRCSC
• Jeremy Duane Doughan, PSYD
• Brooke Marie Dougherty, MA, MFT
• Ryan Dougherty, M.D.
• Louis May-Nguyen Doughery
• Drew M Doughty
• Douglas L Chenin DDS Inc
• Jason Douglas
• Lawrence Douglas
• Rachel Antonia Douglas

• Licensed Practical Nurse in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.