LORRAINE DOUGHERTY (NPI# 1598934978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598934978 |
| Entity Type | Individual |
| Full Name | LORRAINE DOUGHERTY |
| Credential | FNP |
| Practice Address |
3400 E Market St Logansport IN 46947-2295 |
| Practice Telephone | 5747229633 |
| Practice Fax Number | 5747225987 |
| Mailing Telephone | 5747229633 |
| Mailing Fax Number | 5747225987 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2012-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71002596A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200931110 | 05 |
| Street Address |
3400 E MARKET ST |
| City | LOGANSPORT |
| State | IN |
| Zip Code | 46947-2295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235134834 | Rene S Gutierrez | Family Medicine | 3400 E Market St, Logansport, IN 46947-2295 | 2005-06-20 |
| 1912513896 | Jessica Elizabeth Arwood | Nurse Practitioner | 3400 E Market St, Logansport, IN 46947-2295 | 2020-09-16 |
| 1821648155 | Memorial Hospital | Clinic/Center | 3400 E Market St, Logansport, IN 46947-2295 | 2019-09-18 |
| 1881244788 | Memorial Hospital | Clinic/Center | 3400 E Market St, Logansport, IN 46947-2295 | 2019-09-13 |
| 1417348897 | Laura Hess | Nurse Practitioner | 3400 E Market St, Logansport, IN 46947-2295 | 2015-02-06 |
| 1942607262 | Rachel Elizabeth Emery | Nurse Practitioner | 3400 E Market St, Logansport, IN 46947-2295 | 2014-12-02 |
| 1700072808 | Mary B. Lewis | Nurse Practitioner | 3400 E Market St, Logansport, IN 46947-2295 | 2007-09-21 |
| 1053526269 | Lois Jane Taylor | Nurse Practitioner | 3400 E Market St, Logansport, IN 46947-2295 | 2007-05-11 |
| 1962467514 | Vickie Deeds | Nurse Practitioner | 3400 E Market St, Logansport, IN 46947-2295 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1023564259 | Wecare Tlc - Lcsc Health and Wellness | Clinic/Center | 2500 Hopper Street, Door C-13, Logansport, IN 46947 | 2016-08-28 |
| 1801266283 | Cheryl Lynn Ulery | Occupational Therapy Assistant | 5105 Northcrest Drive, Logansport, IN 46947 | 2015-09-29 |
| 1346618691 | Jan Hoover | Nurse Practitioner | 1025 Michigan Ave Ste 125, Logansport, IN 46947 | 2015-09-03 |
| 1922431741 | Ourhealth Physician Group, LLC | Clinic/Center | 99 E. Dewey St., Logansport, IN 46947 | 2013-08-15 |
| 1215245816 | Wal-mart Stores East Lp | Technician/Technologist | 240 Mall Road, Logansport, IN 46947 | 2010-09-16 |
| 1770778359 | Assisted Living Concepts Inc | Assisted Living Facility | 3901 High Street Road, Logansport, IN 46947 | 2007-09-07 |
| 1417152943 | Mary A Deinnocentes | Audiologist | 1325 N. 200 E., Logansport, IN 46947 | 2007-06-15 |
| 1396965018 | Elizabeth Dockerty Smith | Dentist | 335 Mall Road, Logansport, IN 46947 | 2007-04-26 |
| 1659599686 | Donna Beck Hermance | Physical Therapist | Northcentral Indiana Sports Center, 1603 Chase Road, Logansport, IN 46947 | 2007-04-23 |
| Find all providers in zip 46947 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346618691 | Jan Hoover | Nurse Practitioner | 1025 Michigan Ave Ste 125, Logansport, IN 46947 | 2015-09-03 |
| 1396179537 | Andrea Sue Kincaid | Nurse Practitioner | 99 E Dewey St, Logansport, IN 46947-4933 | 2013-08-23 |
| 1154351658 | Thomas Calvin Kerr | Nurse Practitioner | 1098 South State Road 25, Logansport, IN 46947-0000 | 2006-07-03 |
| 1700885274 | Rose M Ewing | Nurse Practitioner | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2005-07-18 |
| 1275536658 | Carol Ellen Eldridge | Nurse Practitioner | 1700 Dividend Dr, Logansport, IN 46947-1572 | 2005-05-31 |
| 1912513896 | Jessica Elizabeth Arwood | Nurse Practitioner | 3400 E Market St, Logansport, IN 46947-2295 | 2020-09-16 |
| 1699315648 | Rachel Leann Tiefel | Nurse Practitioner | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-01-07 |
| 1710530605 | Kelsey House | Nurse Practitioner | 1201 Michigan Ave Ste 270, Logansport, IN 46947-1530 | 2019-07-19 |
| 1548700412 | Monica Davis | Nurse Practitioner | 1101 Michigan Ave, Logansport, IN 46947 | 2017-02-27 |
| 1457808644 | Mandeep Brar | Nurse Practitioner | 1201 Michigan Ave, Suite 270, Logansport, IN 46947-1580 | 2016-09-06 |
| Find all providers in LOGANSPORT | ||||
| City | LOGANSPORT |
| Zip Code | 46947 |
Please comment or provide details below to improve the information on LORRAINE 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.