TRACI DOHERTY (NPI# 1932258837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932258837 |
| Entity Type | Individual |
| Full Name | TRACI DOHERTY |
| Credential | FNP |
| Practice Address |
3 Myrtle St Belmont MA 02478-3004 |
| Mailing Address |
8 Ashburton Pl Boston MA 02108-2701 |
| Practice Telephone | 6172129754 |
| Mailing Telephone | 6175738260 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
240608 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3 MYRTLE ST |
| City | BELMONT |
| State | MA |
| Zip Code | 02478-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| Find all providers in zip 02478 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512948 | Angela Rutherford | Nurse Practitioner | 120 Peachtree St, Belmont, NC 28012-2437 | 2020-09-15 |
| 1679185284 | Suphaphorn Manela | Nurse Practitioner | 50 Bartlett Ave, Belmont, MA 02478-1808 | 2020-08-17 |
| 1497254007 | Melissa Maureen Morrison | Nurse Practitioner | 14 Mill Street, Belmont, NH 03220 | 2018-02-09 |
| 1093225070 | Heather Larue Edmondson | Nurse Practitioner | 102 3rd St, Belmont, MS 38827 | 2017-10-04 |
| 1154849255 | Suzanne Trimble King | Nurse Practitioner | 24 Clyde St, Belmont, MA 02478-3909 | 2017-09-08 |
| 1629526231 | Christine Weaver Bright | Nurse Practitioner | 209 Park St Ste 100, Belmont, NC 28012-5208 | 2016-09-13 |
| 1316184187 | Mary Ellen Knopf | Nurse Practitioner | 1012 Villa Ave, Belmont, CA 94002-1721 | 2009-01-15 |
| 1699935312 | Claudina Ghianni | Nurse Practitioner | 100 Belmont Mount Holly Rd, Belmont, NC 28012-2702 | 2008-06-16 |
| 1639216112 | Patricia Mary Wieser | Nurse Practitioner | 1541 Harbor Blvd, Belmont, CA 94002 | 2007-01-31 |
| 1740251735 | Charles D Griffin | Nurse Practitioner | 14 Mill St, Belmont, NH 03220-4432 | 2006-01-30 |
| Find all providers in BELMONT | ||||
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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.