Keyaira Doughty

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN709800 Issued in PA

Practice address

1080 N Delaware Ave Ste 300D
Philadelphia, PA 19125-4335

Phone

(215) 287-2114

NPI assigned

Jun 21, 2021

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

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1891364378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 ELLIOTT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191434010",
            "telephone_number": "267-312-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N DELAWARE AVE STE 300D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254335",
            "telephone_number": "215-287-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHTY",
        "first_name": "KEYAIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN709800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael W Dougherty, AU.D
• Michelle L Dougherty, M.D.
• Molly Dougherty
• Patricia Anne Dougherty, MSN
• Tanya M Dougherty, BS, PHARMD, BCPS
• Lashae Doughty
• Alexander Dick Douglas, MD
• Anne Genevieve Douglas, M.D.
• Evana Douglas, RN
• Jennifer Ellen Douglas, M.D.

• Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.