MS. NINA DOUGHERTY (NPI# 1518162205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518162205 |
| Entity Type | Individual |
| Full Name | MS. NINA DOUGHERTY |
| Other Name | MS. NINA DOUGHERTY |
| Practice Address |
28 General Sage Dr Santa Fe NM 87505-6395 |
| Practice Telephone | 5059881899 |
| Practice Fax Number | 5059881899 |
| Mailing Telephone | 5059881899 |
| Mailing Fax Number | 5059881899 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
054 | NM | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | CRS-1FILER'S KIT | 001179553000 | 01 |
| Street Address |
28 GENERAL SAGE DR |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-6395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477953826 | Maureen Elizabeth Maher | Dietitian, Registered | 2935 Cardenas Dr Ne, Albuquerque, NM 87110-3207 | 2014-09-03 |
| 1104055797 | Rose Marie Thompson | Dietitian, Registered | 1127 University Blvd. Ne, Albuquerque, NM 87102-1715 | 2009-07-06 |
| 1710460530 | Rachael Mallory | Dietitian, Registered | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2018-09-07 |
| 1336648609 | Hayley D Escandon | Dietitian, Registered | 201 Cedar St Se Ste 4660, Albuquerque, NM 87106-4924 | 2018-02-01 |
| 1528073087 | Jennifer Ditucci | Dietitian, Registered | 2211 Lomas Blvd Ne, Msc10 5590, Albuquerque, NM 87131-0001 | 2006-07-30 |
Please comment or provide details below to improve the information on MS. NINA 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.