KENDA MARAE DOUGHERTY CCC -SLP
NPI 1760681746
Speech-Language Pathologist in Waseca, MN

Active since July 11, 2007
117 STATE ST N, WASECA, MN 56093(507) 237-6336 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenda Marae Dougherty Ccc -slp NPPES

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

KENDA MARAE DOUGHERTY CCC -SLP (NPI 1760681746) is an individual speech-language pathologist provider in Waseca, Minnesota, licensed in Minnesota (8200) and active in the NPI registry since July 2007. She is a graduate of Other (2007).

NPPES Registry Identity

NPI1760681746
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKENDA MARAE DOUGHERTYCredential: CCC -SLP
Location Address117 STATE ST NWaseca, MN 56093-2928
Mailing Address117 State St NWaseca, MN 56093-2928 · (507) 237-6336 · Fax (507) 218-9736
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 11, 2007
Last NPPES UpdateJune 26, 2024
NPPES CertifiedJune 19, 2023
NPI 1760681746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in MN · 8200
Definition

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.

117 STATE ST N, Waseca, MN 56093

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenda Marae Dougherty Ccc -slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890121305
PECOS Enrollment IDI20200131001795

Other Providers at the Same Location NPPES 5

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

Clinic/Center
117 STATE ST N
WASECA, MN 56093
Speech-Language Pathologist
117 STATE ST N
WASECA, MN 56093
Student in an Organized Health Care Education/Training Program
117 STATE ST N
WASECA, MN 56093
Speech-Language Pathologist
117 STATE ST N
WASECA, MN 56093
Speech-Language Pathologist
117 STATE ST N
WASECA, MN 56093

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 Kenda Dougherty's NPI number?

The NPI number for Kenda Dougherty is 1760681746. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Where is Kenda Dougherty located?

Kenda Dougherty practices at 117 State St N, Waseca, MN 56093. The listed phone number is (507) 237-6336.

What is Kenda Dougherty's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kenda Dougherty enrolled in Medicare?

Yes. Kenda Dougherty is registered in the Medicare PECOS enrollment system.

What insurance does Kenda Dougherty accept?

Health plans from Medica list Kenda Dougherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenda Dougherty was last updated on June 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.