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Kimberly A. Dougherty , MA

Speech-Language Pathologist β€’ Clermont, FL

Active NPI 1407813363 Individual Practitioner Female Practitioner
Practice location in NPPES

211 Nautica Mile Dr
Clermont, FL 347112474

Call 3522553629 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

211 Nautica Mile Dr

Clermont, FL 347112474

Telephone 3522553629
Fax 4072955808
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Clermont, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Clermont and Florida

70 active clinicians are listed under Speech-Language Pathologist with a practice address in Clermont, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clermont

0% of these 70 clinicians have the CMS telehealth indicator.

2.9% of these 70 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-25
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA7063

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
889799900 (FL)

Secondary Practice Locations

9808 Florida Boys Ranch Rd

Clermont, FL 347118497

Phone: 3522553629

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ‘€
Provider Name / Credentials Updated November 25, 2025

Recorded as KIMBERLY DOUGHERTY, M.A.

πŸ“
Updated Practice Location March 13, 2024

Registered at 211 NAUTICA MILE DR, CLERMONT, FL 347112474 (Tel: 3522553629)

πŸ“
Updated Business Mailing Address March 13, 2024

Registered at 211 NAUTICA MILE DR, CLERMONT, FL 347112474 (Tel: 3522553629)

πŸ‘€
Provider Name / Credentials Updated March 13, 2024

Recorded as KIM DOUGHERTY, M.A.

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 10125 W COLONIAL DR, STE 216, OCOEE, FL 347614211 (Tel: 4072952956)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 11815 OSPREY POINTE BLVD, CLERMONT, FL 347117656 (Tel: 3522417912)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as KIM DOUGHERTY, M.A. CCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (license number reported to NPPES: FL SA7063)

🟒
Initial NPI Registration & Enumeration April 26, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407813363
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2006
Last Update: November 25, 2025
Sole Proprietor: Yes

Mailing Address

211 Nautica Mile Dr

Clermont, FL 347112474

Phone: 3522553629

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.