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Katherine Dougherty , MS

Speech-Language Pathologist β€’ Waconia, MN

Active NPI 1760056170 Individual Practitioner Female Practitioner
Practice location in NPPES

9346 Oak Ave
Waconia, MN 553879422

Call 9522232506 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

9346 Oak Ave

Waconia, MN 553879422

Telephone 9522232506
Organization at the Same NPPES Address or Phone
Sunnydays Therapy Inc Facility NPI 1891914412

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

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.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

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

Enrolled in Medicare (PECOS)

Katherine Dougherty has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Waconia and Minnesota

74 active clinicians are listed under Speech-Language Pathologist with a practice address in Waconia, MN (3,083 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Waconia

0% of these 74 clinicians have the CMS telehealth indicator.

14.9% of these 74 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: 2024-07-03
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Rehabilitation Practitioner

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20250822002533

Enrollment State Jurisdiction

MN

PECOS Control ID

2567962624

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location July 03, 2024

Registered at 9346 OAK AVE, WACONIA, MN 553879422 (Tel: 9522232506)

πŸ“
Updated Business Mailing Address July 03, 2024

Registered at 1121 19TH ST NE, ROCHESTER, MN 559064285

πŸ‘€
Provider Name / Credentials Updated July 03, 2024

Recorded as KATHERINE DOUGHERTY, M.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2024

Behavior Technician

πŸ“
Updated Practice Location May 24, 2022

Registered at 3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 554143325 (Tel: 5074243234)

πŸ“
Updated Business Mailing Address May 24, 2022

Registered at 3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 554143325

βœ…
NPI Profile Active May 19, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 19, 2021

Registered at 1811 GREENVIEW PL SW, ROCHESTER, MN 559021002 (Tel: 5074243234)

πŸ“
Business Mailing Address (Initial Record) May 19, 2021

Registered at 1811 GREENVIEW PL SW, ROCHESTER, MN 559021002 (Tel: 5074243234)

πŸ‘€
Provider Name / Credentials (Initial Record) May 19, 2021

Recorded as KATHERINE DOUGHERTY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2021

Rehabilitation Practitioner

🟒
Initial NPI Registration & Enumeration May 19, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760056170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2021
Last Update: July 03, 2024
Sole Proprietor: No

Mailing Address

1121 19th St Ne

Rochester, MN 559064285

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.