1. Home
  2. Directory
  3. Indiana
  4. Carmel
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

KATHLEEN MARY DOUGHERTY
NPI 1013621382
Student in an Organized Health Care Education/Training Program in Carmel, IN

Active since January 10, 2023PECOS Enrolled
1608 COOL CREEK DR, CARMEL, IN 46033(317) 696-1099 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Mary Dougherty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN MARY DOUGHERTY (NPI 1013621382) is an individual student in an organized health care education/training program in Carmel, Indiana and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1013621382
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHLEEN MARY DOUGHERTY
Location Address1608 COOL CREEK DRCarmel, IN 46033-2321
Mailing Address1608 Cool Creek DrCarmel, IN 46033-2321 · (317) 696-1099
Phone(317) 696-1099
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 10, 2023
NPPES CertifiedJanuary 10, 2023
✔ NPI 1013621382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1608 COOL CREEK DR, Carmel, IN 46033
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Mary Dougherty is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153813431
PECOS Enrollment IDI20251124003487
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Dougherty's NPI number?

The NPI number for Kathleen Dougherty is 1013621382. It was assigned to this individual provider in the NPPES registry on January 10, 2023.

Where is Kathleen Dougherty located?

Kathleen Dougherty practices at 1608 Cool Creek Dr, Carmel, IN 46033. The listed phone number is (317) 696-1099.

What is Kathleen Dougherty's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kathleen Dougherty enrolled in Medicare?

Yes. Kathleen Dougherty is registered in the Medicare PECOS enrollment system.

Is Kathleen Dougherty affiliated with any hospitals?

According to CMS data, Kathleen Dougherty is affiliated with Albany Medical Center Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Dougherty was last updated on January 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.