Jennifer Doherty, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

NUR-RN-LIC-96346 Issued in MT

Practice address

1 Highway 18
Pine Ridge, SD 57770-9998

Phone

(605) 867-5131

NPI assigned

Jul 12, 2016

Last updated

Jul 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• J.J. Doherty Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1871945949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1201",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "577701201",
            "telephone_number": "605-867-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGHWAY 18",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "577709998",
            "telephone_number": "605-867-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "JENNIFER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "NUR-RN-LIC-96346",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MT",
            "license": "NUR-RN-LIC-96346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J.J.",
            "last_name": "DOHERTY",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy L Dayhoff
• Charles Debo, PHARMD
• Frankie Delgado Canas, M.D.
• Heather Derby, PHARMD
• Linda Kay Dixon, RN
• Stacy Drummond, RN
• Anita Larae Easton, RN
• Jennifer J Eckholt, RN
• Karen L Ehlers, RN,NREMT
• Nancy Ann Eitler, RD

• Medical-Surgical Registered Nurse in Pine Ridge, SD
• Providers in Pine Ridge, SD by specialty
• Medical-Surgical Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.