MS. AMY ALICIA DOUGHERTY FNP-BC NPI 1154609071

NPI Information

  • NPI: 1154609071
  • Provider Name: MS. AMY ALICIA DOUGHERTY, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 800 SPRUCE
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (215) 615-3020

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NPI Details

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
1363LF0000XNurse PractitionerFamily26NJ00912600NEW JERSEYNo
2363LF0000XNurse PractitionerFamilyLG-0011673DELAWARENo
3363LF0000XNurse PractitionerFamily95021191CALIFORNIANo
4363LF0000XNurse PractitionerFamilyRN2361699MASSACHUSETTSNo
5363LF0000XNurse PractitionerFamilyR237822MARYLANDNo
6363LF0000XNurse PractitionerFamily4704371677MICHIGANNo
7363LF0000XNurse PractitionerFamilyF349441-01NEW YORKNo
8363LF0000XNurse PractitionerFamily108881WEST VIRGINIANo
9363LF0000XNurse PractitionerFamilyAPRNCNP0029439OHIONo
10363LF0000XNurse PractitionerFamilySP011230PENNSYLVANIAYes

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: 3/30/2025

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