LYNNE J DOHERTY (NPI# 1649561630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649561630 |
| Entity Type | Individual |
| Full Name | LYNNE J DOHERTY |
| Credential | FNP |
| Practice Address |
24 Common St Suite # 3 Wrentham MA 02093-1399 |
| Mailing Address |
20 Lyndon Rd Wrentham MA 02093-1155 |
| Practice Telephone | 5083841821 |
| Mailing Telephone | 5083840505 |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN196639 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24 COMMON ST SUITE # 3 |
| City | WRENTHAM |
| State | MA |
| Zip Code | 02093-1399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770694556 | Iqubal S. Dhaliwal | Emergency Medicine | 24 Common St, Suite 3, Wrentham, MA 02093-1399 | 2006-08-31 |
| 1144493206 | Kristina E Mccarthy | Physician Assistant | 24 Common St, Wrentham, MA 02093-1399 | 2008-04-10 |
| 1699944942 | I Dhaliwal Md PC | Internal Medicine | 24 Common St, Suite 3, Wrentham, MA 02093-1399 | 2008-02-20 |
| 1972726420 | Iqubal S. Dhaliwal, M.d. | Specialist | 24 Common St, Suite 3, Wrentham, MA 02093-1399 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811465974 | Shi-iii Wrentham LLC | Assisted Living Facility | 30 Ledgeview Way, Attn: Executive Director Or Dba, Wrentham, MA 02093 | 2018-11-07 |
| 1154618452 | Kari Ann Bragaw | Physical Therapist | 40 Annawon Ave, Wrentham, MA 02093 | 2011-07-07 |
| 1457479354 | Wendy D Allard | Dietitian, Registered | Wrentham Development Center, 18 Emerald St, Wrentham, MA 02093 | 2007-03-27 |
| 1558486340 | Kathleen Ann Patti | Dietitian, Registered | 18 Emerald St, Wrentham, MA 02093 | 2007-03-20 |
| 1134251366 | Commonwealth of Massachusetts-dmr | Intermediate Care Facility, Mentally Retarded | 131 Emerald Street, Wrentham, MA 02093 | 2007-03-12 |
| 1407926959 | Chris Mckenna | Chiropractor | 46 South St., Wrentham, MA 02093 | 2006-11-09 |
| 1821168782 | Brian Mckenna | Chiropractor | 46 South St, Wrentham, MA 02093 | 2006-11-08 |
| 1649375304 | Norfolk County Cardiology Assoc | Internal Medicine | 844 Franklin Street, #4, Wrentham, MA 02093 | 2006-09-14 |
| 1477522571 | Marya A Koza | Specialist | 844 Franklin St., #4, Wrentham, MA 02093 | 2006-03-14 |
| 1194712257 | Neal Friedman | Internal Medicine | 24 Common Street, Suite #1, Wrentham, MA 02093 | 2005-10-04 |
| Find all providers in zip 02093 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386085678 | Pamela Park | Nurse Practitioner | 451 Franklin St, Wrentham, MA 02093-1237 | 2013-07-15 |
| 1083087225 | Lindsay O'sullivan | Nurse Practitioner | 131 Emerald St, Wrentham, MA 02093-1902 | 2015-11-10 |
| 1740610187 | Jeanne Mcdonald | Nurse Practitioner | 131 Emerald St, Wrentham Developmental Center, Wrentham, MA 02093-1902 | 2013-11-21 |
| 1689957607 | Bridgette Nipaa Yeboah-spaun | Nurse Practitioner | 131 Emerald St, Wrentham, MA 02093-1902 | 2011-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821885 | Tanya Lee Bailey | Nurse Practitioner | 185 Vining Hill Rd, Southwick, MA 01077-9413 | 2020-11-07 |
| 1134720964 | Arliomey Ambroise | Nurse Practitioner | 2216 Summit Dr, Bridgewater, MA 02324-2178 | 2020-11-06 |
| 1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
| 1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
| 1881295145 | Heather Thomas | Nurse Practitioner | 39 Brock St Apt 1, Brighton, MA 02135-2661 | 2020-11-03 |
| 1427659069 | Jenna Gunnell | Nurse Practitioner | 700 Greendale Ave Unit 11203, Needham, MA 02492-4362 | 2020-11-02 |
| 1336749936 | Julia Monroe | Nurse Practitioner | 7 Atwood St, Cherry Valley, MA 01611-3332 | 2020-11-01 |
| 1730789744 | Polyana F Barbosa | Nurse Practitioner | 491 Maple St Ste 208, Danvers, MA 01923-4025 | 2020-10-28 |
| 1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
| 1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.