Sophie Kiiza Doherty, RN

Registered Nurse in Waltham, MA. Individual provider (NPI-1).

NPI number1336096825

StatusActive

Last updated in NPPESMar 13, 2026

Details

NPI: 1336096825
Entity type: Individual (NPI-1)
Name: Sophie Kiiza Doherty
Credential: RN
Sex: Female
Sole proprietor: Yes
Enumeration date: Mar 13, 2026
Certification date: Mar 12, 2026
Last updated: Mar 13, 2026

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163W00000X	Registered Nurse	RN10006455	MA	Yes
163WH0200X	Registered Nurse, Home Health	RN10006455	MA
163WP0809X	Registered Nurse, Psych/Mental Health, Adult	RN10006455	MA

Practice location

340 Bishops Forest Dr
Waltham, MA 02452-8809

Phone 781-588-2326

Mailing address

340 Bishops Forest Dr
Waltham, MA 02452-8809

Is something wrong?

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Other Registered Nurse providers in Waltham, MA

All 34 Registered Nurse providers in Waltham · All 2,572 providers in Waltham

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