MATTHEW DAUGHERTY (NPI# 1366078784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366078784 |
| Entity Type | Individual |
| Full Name | MATTHEW DAUGHERTY |
| Credential | FNP |
| Practice Address |
1511 Jefferson Davis Hwy Fredericksburg VA 22401-4631 |
| Mailing Address |
12991 Orleans St Woodbridge VA 22192-3723 |
| Practice Telephone | 8663897272 |
| Mailing Telephone | 3475711312 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024179009 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | FAMILY NURSE PRACTITIONER | 0024179009 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831522283 | Matthew Daugherty | Pharmacist | 5713 Edmondson Pike, Nashville, TN 37211 | 2013-08-20 |
| 1245510932 | Matthew David Daugherty | Podiatrist | 3316 N University Dr, Nacogdoches, TX 75965-2632 | 2011-08-25 |
| 1568773760 | Matthew Steven Daugherty | Dentist | 6849 N Oracle Rd Ste 115, Tucson, AZ 85704-4242 | 2010-06-23 |
| 1235316001 | Matthew Lane Daugherty | Physical Therapist | 1705 S Osprey Ave, Sarasota, FL 34239-3512 | 2008-01-23 |
| Street Address |
1511 JEFFERSON DAVIS HWY |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-4631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982890547 | Jessica Michelle Dowling | Nurse Practitioner | 1511 Jefferson Davis Hwy, Fredericksburg, VA 22401-4683 | 2007-09-18 |
| 1194335679 | Karen Kistner Mullins | Nurse Practitioner | 1511 Jefferson Davis Hwy, Fredericksburg, VA 22401-4631 | 2020-08-09 |
| 1659992915 | Chanel Nicole Tinsley | Nurse Practitioner | 1511 Jefferson Davis Hwy, Fredericksburg, VA 22401-4631 | 2020-04-28 |
| 1780231647 | Shaleyna Harper | Nurse Practitioner | 1511 Jefferson Davis Hwy, Fredericksburg, VA 22401-4683 | 2019-08-24 |
| 1184138745 | Vivian Endoso Buenafe | Nurse Practitioner | 1511 Jefferson Davis Hwy, Fredericksburg, VA 22401-4683 | 2017-11-18 |
| 1689928350 | Julie Arline Cummings | Nurse Practitioner | 1511 Jefferson Davis Hwy, Fredericksburg, VA 22401-4683 | 2012-11-02 |
| 1952573990 | Nancy Kapitan | Nurse Practitioner | 1511 Jefferson Davis Hwy, Fredericksburg, VA 22401-4683 | 2008-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614049 | Christina Jolene Macfarlane | Nurse Practitioner | 6313 Forest Grove Dr, Fredericksburg, VA 22407-6343 | 2020-09-23 |
| 1912548876 | Carina Leite | Nurse Practitioner | 2306 Plank Rd Ste 100, Fredericksburg, VA 22401-4902 | 2019-10-02 |
| 1821643081 | Emily Torres | Nurse Practitioner | 621 Jefferson Davis Hwy Ste 201, Fredericksburg, VA 22401-4567 | 2019-08-05 |
| 1316468465 | Samantha Martin | Nurse Practitioner | 1975 Jefferson Davis Hwy, Fredericksburg, VA 22401-5298 | 2017-06-29 |
| 1568904399 | Michele Lyn Lattimer | Nurse Practitioner | 2601 Fall Hill Avenue, Fredericksburg, VA 22401 | 2016-11-10 |
| 1457757460 | Karen Julia Gardella | Nurse Practitioner | 3038 Patriot Ln, Fredericksburg, VA 22408-1728 | 2014-11-18 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1801200357 | Brooke Renae Sparks | Nurse Practitioner | 10718 Ballantraye Dr., Fredericksburg, VA 22407 | 2014-06-12 |
| 1487096731 | Carol Elizabeth Drever | Nurse Practitioner | 1301 Sam Perry Boulevard (moss Free Clinic), Suite 100, Fredericksburg, VA 22401 | 2013-07-26 |
| 1649529025 | Carlene Gordon | Nurse Practitioner | 125 Olde Greenwich Drive, Suite 220, Fredericksburg, VA 22408-4010 | 2012-08-31 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on MATTHEW DAUGHERTY.
| 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.