KAYLEE LIZABETH DOUGHERTY (NPI# 1548738776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548738776 |
Entity Type | Individual |
Full Name | KAYLEE LIZABETH DOUGHERTY |
Other Name | KAYLEE LIZABETH DOMBROWSKI |
Credential | BCO, CCA |
Practice Address |
133 Mortland Rd Searsport ME 04974-3337 |
Mailing Address |
Po Box 245 Searsport ME 04974-0245 |
Practice Telephone | 8008242492 |
Practice Fax Number | 8778242413 |
Mailing Telephone | 8008242492 |
Mailing Fax Number | 8778242413 |
Enumeration Date | 2018-11-06 |
Last Update Date | 2020-05-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
Eye and Vision Services Providers | ||
N | 229N00000X | Anaplastologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
270 Main St, Reading, MA 018673610 | 8008242492 | 8778242413 |
15 Lowell St, Portland, ME 041022726 | 8008242492 | 8778242413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982121638 | Kaylee Marie Dougherty | Speech-Language Pathologist | 6335 William Penn Hwy Ste 1000, Export, PA 15632-9056 | 2017-08-24 |
Street Address |
133 MORTLAND RD |
City | SEARSPORT |
State | ME |
Zip Code | 04974-3337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659370526 | Boston Ocular Prosthetics Inc | Technician/Technologist | 133 Mortland Rd, Searsport, ME 04974-0245 | 2005-07-21 |
1730125600 | Marc W. Goodhart | Social Worker | 133 Mortland Rd, Searsport, ME 04974-3337 | 2006-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366927287 | Sherry Anne Dunbar | Case Manager/Care Coordinator | 99 Back Searsport Rd, Searsport, ME 04974 | 2018-09-26 |
1427112713 | Bethany Jo Mitchell | Social Worker | 11 Cobb Rd, Searsport, ME 04974 | 2006-12-20 |
1417028945 | Loren D. Baldus, D.m.d., P.a. | Dentist | #9 Mt. Ephraim Road, Searsport, ME 04974 | 2006-11-13 |
1417926163 | Jane Eagles | Counselor | 24 Mortland Road, Searsport, ME 04974 | 2006-03-15 |
1851856397 | Lashelbraycm | Community/Behavioral Health | 99 Back Searsport Rd, Searsport, ME 04974 | 2019-02-08 |
1700321668 | Athena Bennett | Social Worker | 30 Mortland Rd, Searsport, ME 04974 | 2017-01-03 |
1326403569 | Dltc Healthcare LLC | Assisted Living Facility | 45 West Main St, Searsport, ME 04974 | 2015-12-15 |
1295113884 | Regional School Unit #71 | Specialist | 6a Lions Way, 98 Waldo Ave., Belfast, ME 04974 | 2015-05-14 |
1528603677 | Mackenzie Rose Clapp | Dietitian, Registered | 49 E Main St, Apartment B, Searsport, ME 04974-0258 | 2019-11-13 |
1750453288 | Loren D. Baldus | Dentist | #9 Mt. Ephraim Road, Searsport, ME 04974-0327 | 2006-11-13 |
Find all providers in zip 04974 |
Taxonomy Code | 156FX1700X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Ocularist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659370526 | Boston Ocular Prosthetics Inc | Technician/Technologist | 133 Mortland Rd, Searsport, ME 04974-0245 | 2005-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982106548 | Boston Ocular Prosthetics Inc | Technician/Technologist | 15 Lowell St, Portland, ME 04102-2726 | 2018-02-28 |
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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.