EDITH ANN DOUGHERTY (NPI# 1417423443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417423443 |
| Entity Type | Individual |
| Full Name | EDITH ANN DOUGHERTY |
| Credential | MSN, RN |
| Practice Address |
702 N Granite Ave Granite Falls WA 98252-8774 |
| Mailing Address |
702 N Granite Ave # 98252 Granite Falls WA 98252-8774 |
| Practice Telephone | 3606917791 |
| Practice Fax Number | 3602384416 |
| Mailing Telephone | 3606917791 |
| Mailing Fax Number | 3602384416 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
60840166 | WA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGISTERED NURSE LICENSE | 60840166 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 205 N Alder Ave, Granite Falls, WA 982528907 | 3602834311 | 3609256477 |
| Street Address |
702 N GRANITE AVE |
| City | GRANITE FALLS |
| State | WA |
| Zip Code | 98252-8774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841765567 | Jami Danielle Rover | Specialist/Technologist | 702 N Granite Ave, Granite Falls, WA 98252-8774 | 2018-10-09 |
| 1245706365 | Tammy Martin | Speech-Language Pathologist | 702 N Granite Ave, Granite Falls, WA 98252-8774 | 2018-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755875 | Sonia Guadalupe Lopez-nava | Interpreter | 304 E Stanley Street, Granite Falls, WA 98252 | 2020-09-21 |
| 1265807739 | New Day Community Counseling, LLC | Community/Behavioral Health | 108 Cascase Ave. Suite A, Granite Falls, WA 98252 | 2015-12-09 |
| 1609242700 | Madysen Pruss | Social Worker | 3223 Robe Menzel Rd, Granite Falls, WA 98252 | 2015-08-12 |
| 1245614924 | Krystal Schultz | Counselor | 108 Cascade Ave, Ste. A, Granite Falls, WA 98252 | 2015-07-13 |
| 1760804827 | Barry Tanne, M.d. | Family Medicine | 403 South Granite Ave, Granite Falls, WA 98252 | 2014-01-09 |
| 1548400187 | K L Everett Dds Pllc | Clinic/Center | 207 E Stanley St Suite B, Granite Falls, WA 98252 | 2009-02-23 |
| 1154580637 | Julie Ann Stark | Specialist | 110 South Alder Ave, Granite Falls, WA 98252 | 2008-06-09 |
| 1750581088 | James Charles Kussy | General Practice | 6119 Robe Menzel Road, Granite Falls, WA 98252 | 2007-07-24 |
| 1326241027 | Kristi Ann Vitale I | Massage Therapist | 403 W. Stanley Street, Granite Falls, WA 98252 | 2007-06-08 |
| 1134343254 | Snohomish County Fire District 17 | Ambulance | 116 S. Granite Avenue, Granite Falls, WA 98252 | 2007-04-12 |
| Find all providers in zip 98252 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902372436 | Cynthia Lawrence | Registered Nurse | 405 N Alder Ave, Granite Falls, WA 98252-8909 | 2018-10-23 |
| 1790251825 | Cassandra Ann Bounds | Registered Nurse | 1401 100th St Ne, Granite Falls, WA 98252-8643 | 2018-10-16 |
| 1437625746 | Brittney Lundberg | Registered Nurse | 1201 100th St Ne, Granite Falls, WA 98252-8632 | 2018-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467549 | Karen Adepoju | Registered Nurse | Karen Adepoju, 1058 E Mercer St., Seattle, WA 98102 | 2020-11-05 |
| 1790385458 | Cindy Daniel | Registered Nurse | 4012 S 158th St Apt L, Tukwila, WA 98188-2614 | 2020-10-30 |
| 1326655523 | Aerika Leigh Street | Registered Nurse | 18350 6th Ave Nw, Shoreline, WA 98177-3531 | 2020-09-30 |
| 1639799570 | Gabriel Hardt | Registered Nurse | 6208 60th Ave Ne, Seattle, WA 98115-7944 | 2020-04-21 |
| 1669012340 | Kesha Milne | Registered Nurse | 10001 School St, Peshastin, WA 98847-9728 | 2020-01-10 |
| 1639717432 | Rebecca Ann Baldwin | Registered Nurse | 1704 Gray St, Richland, WA 99352-3881 | 2019-12-12 |
| 1477198877 | Lisa Susan Link | Registered Nurse | 1132 172nd St Sw, Lynnwood, WA 98037-8255 | 2019-11-10 |
| 1376187104 | Kulwinder K Seera | Registered Nurse | 25 Rife Rd, Port Angeles, WA 98363-8433 | 2019-11-05 |
| 1679117931 | Sarah Rose Pierce | Registered Nurse | 2505 S Washington St, Port Angeles, WA 98362-6763 | 2019-10-30 |
| 1801439377 | Pamela Kay Snook | Registered Nurse | 15701 B Street East, Health Room, Tacoma, WA 98445 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
| City | GRANITE FALLS |
| Zip Code | 98252 |
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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.