Loretta June Dougherty

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

80 N 31St St
Clinton, OK 73601-9116

Phone

(580) 323-9773

Fax

(580) 323-0828

NPI assigned

Sep 19, 2012

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

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1881945624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N LINCOLN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731055104",
            "telephone_number": "580-323-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 N 31ST ST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736019116",
            "telephone_number": "580-323-9773",
            "fax_number": "580-323-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "LORETTA",
        "middle_name": "JUNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Makescry LLC
• Devin P. Schoonmaker DDS P.C.
• Diagnostic Laboratory of Oklahoma LLC
• Tara N Dickson, BS
• Lindsay Dlugonski
• Kimberly Brooke Douglas
• Sally Drinnon, DOCTOR OF PHARMACY
• Terra Deanne Dupree, OTR/L
• Dynamic Psychological & Mediation Services
• Mitzie Eaton

• Case Manager/Care Coordinator in Clinton, OK
• Providers in Clinton, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.