Active NPI
Kaylee Dougall, M.S. CCC-SLP
- Speech-Language Pathologist
- Mankato, MN
National Provider Identifier
1174365340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 528864
- Practice address
- 700 James Ave
Mankato, MN 56001-4090 - Phone
- (507) 345-4631
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 528864 | MN | Primary |
Addresses
Primary practice location
700 James Ave
Mankato, MN 56001-4090
Mailing address
220 S Market St
Belle Plaine, MN 56011-1701
Other practice location 1
220 S Market St
Belle Plaine, MN 56011-1701
Phone (952) 873-2401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 528864 | MN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1174365340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S MARKET ST",
"city": "BELLE PLAINE",
"state": "MN",
"postal_code": "560111701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 JAMES AVE",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014090",
"telephone_number": "507-345-4631"
}
],
"practiceLocations": [
{
"address_1": "220 S Market St",
"address_purpose": "LOCATION",
"city": "Belle Plaine",
"state": "MN",
"postal_code": "560111701",
"country_code": "US",
"telephone_number": "952-873-2401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUGALL",
"first_name": "KAYLEE",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "528864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.