Individual provider Active NPI

Kaylee Dougall, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Mankato, MN
National Provider Identifier
1174365340
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
528864 Issued in MN
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

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
528864MNMDSpeech-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.

Verify at the official NPI Registry.