COLLEEN DOHERTY NP NPI 1265652937

NPI Information

NPI: 1265652937
Provider Name: COLLEEN DOHERTY, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
7800 JANDARACRES DR
CINCINNATI, OH
ZIP 45248
Phone: (513) 515-1751
Get Directions

Colleen Doherty, NP is an acute care nurse practitioner in Cincinnati, OH with 41 years of experience. Colleen Doherty, NP NPI is 1265652937. 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:

7800 JANDARACRES DR
CINCINNATI, OH
ZIP 45248-032
Phone: (513) 515-1751
Fax: (812) 432-5579

The NPI 1265652937 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 4/26/2007 and was last updated on 7/9/2007.

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	363LA2100X	Nurse Practitioner	Acute Care	NP-05704	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2501635	MEDICAID	OHIO
2	Q42859	MEDICARE UPIN	OHIO
3	NP18231	MEDICARE ID-TYPE UNSPECIFIED	OHIO	OH MEDICARE

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

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