Daniel Lee Daugherty Jr., STNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

401115450710 Issued in OH

Practice address

4567 Spring Hill Rd
Newark, OH 43056-9022

Phone

(740) 763-2024

Fax

(740) 281-0028

NPI assigned

Sep 18, 2010

Last updated

Sep 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1284768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284768000000",
    "number": "1962710434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 SPRING HILL RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430569022",
            "telephone_number": "740-763-2024",
            "fax_number": "740-281-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4567 SPRING HILL RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430569022",
            "telephone_number": "740-763-2024",
            "fax_number": "740-281-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "credential": "STNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-18",
        "last_updated": "2010-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401115450710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Dalton
• Jessie Damron, C.O.T.A.
• Khanh Dang, MD
• Kathryn Daniel
• Christian Daugherty
• David W Koontz DO Inc
• Taylor David
• Elliot Davidoff, MD
• Joshua D Davidson, P.T.A.
• Amy Elizabeth Davis, LSW

• Nurse's Aide in Newark, OH
• Providers in Newark, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.