Emily Caitlyn Dougherty, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3383 Issued in KS

Practice address

2258 N Lakeway Cir
Wichita, KS 67205-1082

Phone

(316) 945-9117

NPI assigned

Aug 24, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Emily C Griekspoor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rainbows United, Inc.

  • Case Management Agency
  • Wichita, KS
  • NPI 1679671671
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1023599362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 N OLIVER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202106",
            "telephone_number": "316-558-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 N LAKEWAY CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051082",
            "telephone_number": "316-945-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "EMILY",
        "middle_name": "CAITLYN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "GRIEKSPOOR",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sounida Douangpraseuth, MD
• Double Arrow Metabolism, LLC
• Virginia Nola Douds, DOULA
• Doug Chambers DDS, PA
• Amy Dougan, PHARMD
• Jenna Dougherty, OD
• Becky Denise Douglas, LMSW
• Brandon John Douglas
• Amanda Leeann Douglass, CRNA
• Denise Douty, T-LPC

• All providers in Wichita, KS
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.