Katherine Doerner, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA12659 Issued in FL

Practice address

6977 Professional Pkwy E
Therapeutic Potentials, Inc.
Lakewood Ranch, FL 34240-8411

Phone

(941) 758-3140

Fax

(941) 870-4891

NPI assigned

Aug 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Therapeutic Potentials, Inc

  • Clinic/Center
  • Lakewood Ranch, FL
  • NPI 1013135169

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1083963557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6977 PROFESSIONAL PKWY E",
            "address_2": "THERAPEUTIC POTENTIALS, INC.",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408411",
            "telephone_number": "941-758-3140",
            "fax_number": "941-870-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6977 PROFESSIONAL PKWY E",
            "address_2": "THERAPEUTIC POTENTIALS, INC.",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408411",
            "telephone_number": "941-758-3140",
            "fax_number": "941-870-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERNER",
        "first_name": "KATHERINE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ5918",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006668100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Krista Jamie Donavan
• Dr. Salvatore Didomenico Dcpa
• Karen Pinsky Draper, AUD. CCC-A
• Geraldine Brooks Drexler, M.A., CCC-SP
• Mario Dube, D.O.M.

• Speech-Language Pathologist in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.