SUSAN EMILY DAVIS DOUGHTY (NPI# 1184652968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184652968 |
| Entity Type | Individual |
| Full Name | SUSAN EMILY DAVIS DOUGHTY |
| Credential | WHNP C |
| Practice Address |
260 Western Avenue New England Women Center South Portland ME 04106 |
| Mailing Address |
260 Western Avenue South Portland ME 04106 |
| Practice Telephone | 2077614700 |
| Practice Fax Number | 2177614744 |
| Mailing Telephone | 2077614700 |
| Mailing Fax Number | 2177614744 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R027192 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285676759 | Susan L Doughty | Nurse Practitioner | 39500 Liberty Street, Tri City Health Center, Fremont, CA 94538 | 2006-06-11 |
| Street Address |
260 WESTERN AVENUE NEW ENGLAND WOMEN CENTER |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639382435 | New England Women Center | Nurse Practitioner | 260 Western Avenue, South Portland, ME 04106 | 2007-05-08 |
| 1194937250 | Mary Delois,f.n.p.,llc | Nurse Practitioner | 260 Western Avenue, South Portland, ME 04106 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760739650 | Yanghee Courbron | Nurse Practitioner | 100 Brickhill Ave Ste 203, South Portland, ME 04106-1999 | 2012-08-09 |
| 1639382435 | New England Women Center | Nurse Practitioner | 260 Western Avenue, South Portland, ME 04106 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215216643 | Sarah Jane Norris | Nurse Practitioner | 29 City Point Rd, Peaks Island, ME 04108-1161 | 2011-08-16 |
| 1730485483 | Amber Lynn Berube | Nurse Practitioner | 31 Crossridge Dr, Windham, ME 04062-5568 | 2011-01-27 |
| 1982837019 | Bronwyn Elizabeth Sewell | Nurse Practitioner | 443 Congress St Fl 2, Portland, ME 04101-3531 | 2009-08-24 |
| 1164632014 | Margaret Anna Mcgalliard | Nurse Practitioner | 12 Stillwater Ave Ste 1, Bangor, ME 04401-3984 | 2007-05-22 |
| 1720106362 | Kennebec Valley Community Action Program | Nurse Practitioner | 101 Water St, Suite 204, Waterville, ME 04901-6339 | 2007-03-26 |
| 1063563310 | Bonnie L Clark | Nurse Practitioner | 5 Silver Rdg, Veazie, ME 04401-7086 | 2007-01-15 |
| 1538245097 | Christina Rose Theriault | Nurse Practitioner | 139 Market St, Fort Kent, ME 04743-1410 | 2006-10-27 |
| 1144320300 | Jessie M. Reighley | Nurse Practitioner | 3 Marina Rd, Yarmouth, ME 04096-6783 | 2006-09-25 |
| 1497780613 | Susan E Eastler | Nurse Practitioner | 200 Livermore Falls Rd, Farmington, ME 04938-6244 | 2006-07-12 |
| 1356373005 | Priscilla Ann Perry | Nurse Practitioner | 68 Mount Hope Ave, Bangor, ME 04401-4096 | 2006-07-06 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on SUSAN EMILY DAVIS DOUGHTY.
| 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.