JENNIFER DOHERTY (NPI# 1871945949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871945949 |
| Entity Type | Individual |
| Full Name | JENNIFER DOHERTY |
| Other Name | J.J. DOHERTY |
| Credential | RN |
| Practice Address |
1 Highway 18 Pine Ridge SD 57770-9998 |
| Mailing Address |
Po Box 1201 Pine Ridge SD 57770-1201 |
| Practice Telephone | 6058675131 |
| Mailing Telephone | 6058675131 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | NUR-RN-LIC-96346 | MT | Nursing Service Providers |
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
NUR-RN-LIC-96346 | MT | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477998763 | Jennifer Doherty | Behavioral Analyst | 911 W Talcott Rd, Park Ridge, IL 60068-4740 | 2013-05-01 |
| 1912221037 | Jennifer M Doherty | Counselor | 2 Kelly Court, Stormville, NY 12582 | 2010-03-18 |
| 1811498009 | Jennifer Carolyn Doherty | Pharmacist | 410 Blanding Blvd, Orange Park, FL 32073-5051 | 2018-02-23 |
| 1124301296 | Jennifer Anne Doherty | Specialist | 1801 Turnpike St, North Andover, MA 01845-6322 | 2011-09-24 |
| 1033413216 | Jennifer Doherty | Massage Therapist | 4755 N Academy Blvd, Colorado Springs, CO 80918-4255 | 2011-01-03 |
| 1376856344 | Jennifer L Doherty | Behavioral Analyst | 4602 N Armenia Ave, Suite C, Tampa, FL 33603-2626 | 2010-07-20 |
| Street Address |
1 HIGHWAY 18 |
| City | PINE RIDGE |
| State | SD |
| Zip Code | 57770-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962474965 | Joan E Gibson | Pediatrics | 1 Highway 18, Pine Ridge, SD 57770-9998 | 2006-02-03 |
| 1952753097 | Bailey Cummings | Registered Nurse | 1 Highway 18, Pine Ridge, SD 57770-9998 | 2016-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508427352 | Apollo Medflight, LLC | Ambulance | 12 Airport Rd, Pine Ridge, SD 57770 | 2019-06-24 |
| 1740795780 | Oglala Sioux Tribe Air Rescue | Ambulance | Pine Ridge Comprehensive Hospital: 1201 E. Highway 18th, Pineridge, SD 57770 | 2017-12-13 |
| 1841546264 | Sharla Laurene Roth | Pharmacist | E Highway 18, Pine Ridge, SD 57770 | 2012-08-03 |
| 1477843282 | Keith Lincoln Keller | Family Medicine | Ihs Pine Ridge Service Unit, Hwy 18, Pine Ridge, SD 57770 | 2011-04-13 |
| 1992024137 | Jackalyn Spry | Radiologic Technologist | 4500 E Hwy 18, Pine Ridge, SD 57770 | 2010-05-27 |
| 1063666071 | Virginia Horn | Registered Nurse | 1201 East Highway 18, Pine Ridge, SD 57770 | 2008-11-05 |
| 1881854602 | Melva A Clifford | Registered Nurse | 4500 Main Street, Pine Ridge, SD 57770 | 2008-06-16 |
| 1487814513 | Rodney R Sahr | Registered Nurse | Hwy 18 East, Pine Ridge Hospital, Pine Ridge, SD 57770 | 2008-06-12 |
| 1770743924 | Maneen Baker | Registered Nurse | Pine Ridge Ihs, Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-11 |
| 1871752139 | Patricia Jane Broberg | Registered Nurse | Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-03 |
| Find all providers in zip 57770 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770032336 | Michelle Janis | Registered Nurse | East Highway 18, Box 1201, Pine Ridge, SD 57770-1201 | 2016-09-23 |
| 1952753097 | Bailey Cummings | Registered Nurse | 1 Highway 18, Pine Ridge, SD 57770-9998 | 2016-07-12 |
| 1699928044 | Brenda Neiss | Registered Nurse | E Hwy 18, Pine Ridge, SD 57770-1201 | 2008-10-29 |
| 1972763167 | Debra Lacey | Registered Nurse | Hwy 18, Pine Ridge, SD 57770 | 2008-06-11 |
| 1942460431 | Jessica Jean Zephier | Registered Nurse | 4500 Main St, East Hwy 18, Pine Ridge, SD 57770-1201 | 2008-06-10 |
| 1194984344 | Heidi Lynn Stands | Registered Nurse | 1201 E Hwy 18, Pine Ridge Ihs, Pine Ridge, SD 57770 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881231918 | Heather D Thompson | Registered Nurse | 20840 478th Ave, White, SD 57276-5904 | 2019-12-09 |
| 1366895013 | Sarah Jo Hunt | Registered Nurse | 1205 S Grange Ave # Mb2, Suite 104, Sioux Falls, SD 57105-0407 | 2016-07-18 |
| 1114136405 | Robert Edmond Sousek | Registered Nurse | 1725 S 7th Ave, Sioux Falls, SD 57105-2011 | 2007-05-22 |
| 1124247614 | Robyn F Logg | Registered Nurse | 317 North Main, Eagle Butte, SD 57625 | 2007-04-24 |
| 1891306585 | Tierney Jo Donovan | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-08-14 |
| 1043833965 | Madisen Dean | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-05-27 |
| 1104384908 | Rachel Truax | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625 | 2019-03-11 |
| 1184028383 | Ellen Pietsch | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625 | 2014-10-16 |
| 1194987354 | Julie Jones | Registered Nurse | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2008-06-30 |
| 1043439433 | Rikki Lynn Hall | Registered Nurse | 317 North Main, Eagle Butte, SD 57625 | 2007-04-24 |
| Find all providers with the same taxonomy | ||||
| City | PINE RIDGE |
| Zip Code | 57770 |
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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.