PAIGE DOUGHERTY (NPI# 1033608781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033608781 |
| Entity Type | Individual |
| Full Name | PAIGE DOUGHERTY |
| Practice Address |
2103 N Veterans Pkwy Ste 332 Bloomington IL 61704-0917 |
| Practice Telephone | 3095851809 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164767570 | Paige Lacey Dougherty | Speech-Language Pathologist | 432 Red Birch Rd, Millersville, MD 21108-1414 | 2012-12-11 |
| Street Address |
2103 N VETERANS PKWY STE 332 |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-0917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831692219 | Molly R Gill | Physical Therapist | 2103 N Veterans Pkwy Ste 332, Bloomington, IL 61704-0917 | 2018-03-13 |
| 1407414402 | Kelly Ditmars | Physical Therapist | 2103 N Veterans Pkwy Ste 332, Bloomington, IL 61704-0917 | 2019-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132003 | Faizo A Hersi | Student in an Organized Health Care Education/Training Program | 9700 International Dr Suite 300, Bloomington, MN 55425 | 2020-10-22 |
| 1528689312 | Cody Schroeder | Student in an Organized Health Care Education/Training Program | 19 Norman Ridge Dr, Bloomington, MN 55437-1749 | 2020-05-03 |
| 1578117107 | Ingrid Alexis Lopez | Student in an Organized Health Care Education/Training Program | 9817 Vine St, Bloomington, CA 92316-2038 | 2019-07-31 |
| 1356907026 | Shannon G Freed | Student in an Organized Health Care Education/Training Program | 10660 Hampshire Ave S Apt 3102, Bloomington, MN 55438-2629 | 2019-05-17 |
| 1730649062 | Matthew Acton | Student in an Organized Health Care Education/Training Program | 2341 E Plateau Pl, Bloomington, IN 47401-9502 | 2019-03-22 |
| 1881158012 | Amber Caitlyn Bentley | Student in an Organized Health Care Education/Training Program | 701 N Walnut St Apt 211, Bloomington, IN 47404-4038 | 2019-01-22 |
| 1104337245 | Ashley Roy | Student in an Organized Health Care Education/Training Program | 1202 N Walnut St, Bloomington, IN 47404-3534 | 2017-10-16 |
| 1326584244 | Jonah Harrison Prickel | Student in an Organized Health Care Education/Training Program | 713 S Brighton Crst, Bloomington, IN 47401-8684 | 2017-01-17 |
| 1215327630 | Miranda Lofgren | Student in an Organized Health Care Education/Training Program | 2036 N Walnut St, Apt B17, Bloomington, IN 47404-2465 | 2015-01-24 |
| 1598154825 | Tyler Daniel Reems | Student in an Organized Health Care Education/Training Program | 935 S Copper Beech Way Apt E, Bloomington, IN 47403-5242 | 2015-01-09 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on PAIGE DOUGHERTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.