COLLEEN DAUGHERTY NPI 1659359412

NPI Information

  • NPI: 1659359412
  • Provider Name: COLLEEN DAUGHERTY
  • Classification: Military Health Care Provider - 171000000X
  • Entity Type: Individual
  • Address: 149 HART ST
    82 MEDICAL GROUP/CREDENTIALS
    SHEPPARD AFB, TX
    ZIP 76311
  • Phone: (940) 676-6960

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NPI Details

Colleen Daugherty is a military health care provider in Sheppard Afb, TX. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Colleen Daugherty NPI is 1659359412. 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:

149 HART ST
82 MEDICAL GROUP/CREDENTIALS
SHEPPARD AFB, TX
ZIP 76311-477
Phone: (940) 676-6960

The enumeration date for this NPI number is 1/3/2006 and was last updated on 7/8/2007.

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
1171000000XMilitary Health Care ProviderOT3334FLORIDAYes

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
1VAD 000OTHERTEXASMILITARY

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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