CLARE KELLY DOHERTY NP NPI 1235922022

NPI Information

  • NPI: 1235922022
  • Provider Name: CLARE KELLY DOHERTY, NP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1701 N SENATE BLVD
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 962-9700

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NPI Details

Clare Kelly Doherty, NP is a gerontology nurse practitioner in Indianapolis, IN with 1 years of experience. Clare Kelly Doherty, NP NPI is 1235922022. The provider is registered as an individual entity type.

The provider's business location address is:

1701 N SENATE BLVD
INDIANAPOLIS, IN
ZIP 46202-239
Phone: (317) 962-9700

The NPI 1235922022 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 5/26/2025 and was last updated on 8/20/2025.

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
1363L00000XNurse Practitioner71016678AINDIANANo
2163WC0200XRegistered NurseCritical Care Medicine28229796AINDIANANo
3363LA2100XNurse PractitionerAcute Care28229796AINDIANANo
4363LG0600XNurse PractitionerGerontology71016678AINDIANAYes

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: 11/21/2025

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