MS. AMY ALICIA DOUGHERTY FNP-BC NPI 1154609071

NPI Information

NPI: 1154609071
Provider Name: MS. AMY ALICIA DOUGHERTY, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
800 SPRUCE
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 615-3020
Get Directions

MS. Amy Alicia Dougherty, FNP-BC is a family nurse practitioner in Philadelphia, PA. MS. Amy Alicia Dougherty, FNP-BC NPI is 1154609071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 SPRUCE
PHILADELPHIA, PA
ZIP 19107-211
Phone: (215) 615-3020

The NPI 1154609071 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2011 and was last updated on 6/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	26NJ00912600	NEW JERSEY	No
2	363LF0000X	Nurse Practitioner	Family	LG-0011673	DELAWARE	No
3	363LF0000X	Nurse Practitioner	Family	95021191	CALIFORNIA	No
4	363LF0000X	Nurse Practitioner	Family	RN2361699	MASSACHUSETTS	No
5	363LF0000X	Nurse Practitioner	Family	R237822	MARYLAND	No
6	363LF0000X	Nurse Practitioner	Family	4704371677	MICHIGAN	No
7	363LF0000X	Nurse Practitioner	Family	F349441-01	NEW YORK	No
8	363LF0000X	Nurse Practitioner	Family	108881	WEST VIRGINIA	No
9	363LF0000X	Nurse Practitioner	Family	APRNCNP0029439	OHIO	No
10	363LF0000X	Nurse Practitioner	Family	SP011230	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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