Active NPI
Deborah Dougherty, NP
- Nurse Practitioner
- New Whiteland, IN
National Provider Identifier
1871670372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71000704
- Practice address
- 520 Tracy Rd
New Whiteland, IN 46184-9373 - Phone
- (317) 535-7447
- Fax
- (317) 535-0262
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71000704 | IN | Primary |
Addresses
Primary practice location
520 Tracy Rd
New Whiteland, IN 46184-9373
Mailing address
520 Tracy Rd
New Whiteland, IN 46184-9373
Phone (317) 535-7447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200452810 | Medicaid | IN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| American Health Network of Indiana LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Radiology Clinic/Center
- New Albany, IN
- NPI 1164304424
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1871670372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 TRACY RD",
"city": "NEW WHITELAND",
"state": "IN",
"postal_code": "461849373",
"telephone_number": "317-535-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 TRACY RD",
"city": "NEW WHITELAND",
"state": "IN",
"postal_code": "461849373",
"telephone_number": "317-535-7447",
"fax_number": "317-535-0262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "DEBORAH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71000704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200452810",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Whiteland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.