Linda Dougherty, CRC, QRP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

30 Sun Vly
Glen Dale, WV 26038-1222

Phone

(304) 845-1836

Fax

(304) 843-1783

NPI assigned

Jan 2, 2008

Last updated

Jan 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1841475423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SUN VLY",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381222",
            "telephone_number": "304-845-1836",
            "fax_number": "304-843-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SUN VLY",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381222",
            "telephone_number": "304-845-1836",
            "fax_number": "304-843-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "LINDA",
        "credential": "CRC, QRP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRC",
            "identifier": "00047827",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Halie Autumn Dehnart, PA-C
• Brenda Dennis, NP
• Amanda Lee Deskins, D.O.
• Julie Dobbs
• Clarissa Dolenc, FNP-BC
• Dr Zaveen a Kureishy
• Emily Brooke Druschel
• Morgan Efaw, DO
• Rona Ann Eikey, CFNP
• Reima A. El Naili, M.D.

• Case Manager/Care Coordinator in Glen Dale, WV
• Providers in Glen Dale, WV by specialty
• Case Manager/Care Coordinator in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.