BRIDGET M. DOHERTY (NPI# 1104871821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104871821 |
| Entity Type | Individual |
| Full Name | BRIDGET M. DOHERTY |
| Credential | RNCS |
| Practice Address |
2 Essex Center Dr Peabody MA 01960-2902 |
| Mailing Address |
147 Milk St Provider Enrollment 9th Floor Boston MA 02109-4806 |
| Practice Telephone | 9782506240 |
| Mailing Telephone | 6175598051 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
160620 | MA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS | PN0744 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 0036909 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447624861 | Bridget Doherty | Student in an Organized Health Care Education/Training Program | 9 Kerrie Cir, Franklin, MA 02038-3922 | 2015-11-23 |
| 1952382715 | Bridget Halah Doherty | Nurse Practitioner | 3945 E Paradise Falls Drive, Suite 201, Tucson, AZ 85712-6687 | 2005-11-09 |
| Street Address |
2 ESSEX CENTER DR |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596054 | Barbara E. Dinenno | Physical Therapist | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2005-08-24 |
| 1013515048 | Meaghan Clarke | Physical Therapist | 2 Essex Center Dr, Peabody, MA 01960-2926 | 2020-10-12 |
| 1902385008 | Darina Carcerano | Nurse Practitioner | 2 Essex Center Dr, Peabody, MA 01960 | 2018-08-09 |
| 1457859969 | Michelle Kristen Ambler | Social Worker | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2018-01-30 |
| 1679023873 | Barry C Jones | Pharmacist | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2016-10-11 |
| 1740637669 | Julianne Sullivan | Nurse Practitioner | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2016-05-20 |
| 1194194951 | Tena Maria Rallis | Dermatology | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2015-09-22 |
| 1790102291 | Timothy Karthas | Podiatrist | 2 Essex Center Dr, Peabody, MA 01960-2926 | 2014-03-21 |
| 1265778294 | Svetlana M Moheydeen | Special Hospital | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2012-12-19 |
| 1295093045 | Andrea R Morris | Optometrist | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2012-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467475798 | Mary E. Reynolds | Registered Nurse | 2 Essex Center Dr, Bh Dept, Peabody, MA 01960-2930 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625892 | Steven M Adkison | Registered Nurse | 197 Lothrop St, Beverly, MA 01915-3763 | 2020-10-06 |
| 1306459862 | Alycen Gail Palmer | Registered Nurse | 769 Plain St Unit 1, Marshfield, MA 02050-2118 | 2020-08-25 |
| 1609485945 | Geraldei Paul | Registered Nurse | 24 Belmont Ct Apt 9, Brockton, MA 02301-4728 | 2020-07-22 |
| 1952938136 | Douglas Crook | Registered Nurse | 12 Wellington Ave, Haverhill, MA 01830-2729 | 2020-03-26 |
| 1043846942 | Debra Louise Booth | Registered Nurse | 19 Bryant St, Salem, MA 01970-2330 | 2020-03-23 |
| 1134755028 | Ademola Solomon Obele | Registered Nurse | 11 Paper Birch Path, Worcester, MA 01605-3372 | 2020-03-23 |
| 1811521644 | Edith A Barrett | Registered Nurse | 9 Thorndike St, Arlington, MA 02474-8729 | 2020-03-02 |
| 1013553536 | Valerie Witline Louis | Registered Nurse | 9 W Milton St, Hyde Park, MA 02136-1921 | 2019-11-19 |
| 1750927489 | Austin Agbonifo | Registered Nurse | 36 Westminster Ct Apt E36, Roxbury, MA 02119-1192 | 2019-11-18 |
| 1083258875 | Hilda Adaeze Epelle | Registered Nurse | 911 River St, Hyde Park, MA 02136-3714 | 2019-11-05 |
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| 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.