RHIANNON RAE DOHERTY PMHNP-BC NPI 1295073542

NPI Information

  • NPI: 1295073542
  • Provider Name: RHIANNON RAE DOHERTY, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 836 PRUDENTIAL DR STE 1506
    JACKSONVILLE, FL
    ZIP 32207
  • Phone: (904) 376-3800

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NPI Details

Rhiannon Rae Doherty, PMHNP-BC is a psychiatric/mental health nurse practitioner in Jacksonville, FL. Rhiannon Rae Doherty, PMHNP-BC NPI is 1295073542. 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:

836 PRUDENTIAL DR STE 1506
JACKSONVILLE, FL
ZIP 32207-342
Phone: (904) 376-3800
Fax: (904) 390-7398

The NPI 1295073542 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Telephone medical discussion provided by nonphysician professional, 11-20 minutes (HCPCS:98967)

The enumeration date for this NPI number is 1/22/2013 and was last updated on 4/24/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health068639-23NEW HAMPSHIRENo
2363LP0808XNurse PractitionerPsychiatric/Mental Health6735CONNECTICUTNo
3163WP0808XRegistered NursePsychiatric/Mental HealthRN2272696MASSACHUSETTSNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthAP10802ARIZONANo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11029725FLORIDAYes

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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