STEPHANIE DAUGHERTY
NPI 1053108563
Student in an Organized Health Care Education/Training Program in Fort Wayne, IN

Active since April 21, 2025
1200 BARR ST, FORT WAYNE, IN 46802(260) 467-1100 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Daugherty NPPES

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

STEPHANIE DAUGHERTY (NPI 1053108563) is an individual student in an organized health care education/training program in Fort Wayne, Indiana and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1053108563
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTEPHANIE DAUGHERTY
Location Address1200 BARR STFort Wayne, IN 46802-3502
Mailing Address1200 Barr StFort Wayne, IN 46802-3502 · (260) 467-1100
Sole ProprietorNo
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
NPI 1053108563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1200 BARR ST, Fort Wayne, IN 46802

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (School)
1200 BARR ST
FORT WAYNE, IN 46802
Psychologist (School)
1200 BARR ST
FORT WAYNE, IN 46802
Psychologist (School)
1200 BARR ST
FORT WAYNE, IN 46802
Psychologist (School)
1200 BARR ST
FORT WAYNE, IN 46802
Psychologist (School)
1200 BARR ST
FORT WAYNE, IN 46802
Psychologist (School)
1200 BARR ST
FORT WAYNE, IN 46802
Psychologist (School)
1200 BARR ST
FORT WAYNE, IN 46802
Psychologist (School)
1200 BARR ST
FORT WAYNE, IN 46802

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 Stephanie Daugherty's NPI number?

The NPI number for Stephanie Daugherty is 1053108563. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Stephanie Daugherty located?

Stephanie Daugherty practices at 1200 Barr St, Fort Wayne, IN 46802. The listed phone number is (260) 467-1100.

What is Stephanie Daugherty's specialty?

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

When was this NPI record last updated?

The NPPES record for Stephanie Daugherty was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.