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Amy Rose Doherty

Speech-Language Pathologist β€’ Prosser, WA

Active NPI 1164807590 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

326 Chardonnay Ave, Suite 1
Prosser, WA 993509515

Call 5097866626 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

326 Chardonnay Ave
Suite 1

Prosser, WA 993509515

Telephone 5097866626
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Portland, OR. See the list

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

CMS Doctors and Clinicians lists 1 group name: Progressive Rehabilitation Associates Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2015

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 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

2015

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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)

Amy Doherty 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 Prosser and Washington

14 active clinicians are listed under Speech-Language Pathologist with a practice address in Prosser, WA (4,109 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Prosser

0% of these 14 clinicians have the CMS telehealth indicator.

7.1% of these 14 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: 2025-04-16
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.

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: Washington State Department of Health Provider Lookup.
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

I20240925000094

Enrollment State Jurisdiction

OR

PECOS Control ID

6709327117

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

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Progressive Rehabilitation Associates Llc

4640 S Macadam Ave, Portland, OR 972394285

Phone: 5032920765

Secondary Practice Locations

4640 S Macadam Ave Ste 90

Portland, OR 972394285

Phone: 5032920765

Career & Practice History Timeline

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

9 Historical Events
πŸ‘€
Provider Name / Credentials Updated April 16, 2025

Recorded as AMY DOHERTY

πŸ‘€
Provider Name / Credentials Updated September 19, 2024

Recorded as AMY DOHERTY MAGALLAN

πŸ“
Updated Business Mailing Address September 06, 2024

Registered at 6351 N DETROIT AVE, PORTLAND, OR 972174922 (Tel: 5096192027)

βœ…
NPI Profile Active July 27, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 27, 2015

Registered at 326 CHARDONNAY AVE, SUITE 1, PROSSER, WA 993509515 (Tel: 5097866626)

πŸ“
Business Mailing Address (Initial Record) July 27, 2015

Registered at 401 ROBERT AVE, RICHLAND, WA 993523911 (Tel: 5037588550)

πŸ‘€
Provider Name / Credentials (Initial Record) July 27, 2015

Recorded as AMY DOHERTY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2015

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration July 27, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164807590
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2015
Last Update: April 16, 2025
Sole Proprietor: No

Mailing Address

6351 N Detroit Ave

Portland, OR 972174922

Phone: 5096192027

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.