Kelly Doerr

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2024026851 Issued in MO

Practice address

1371 YMCA Dr
Festus, MO 63028-2617

Phone

(636) 465-0726

Fax

(636) 465-0747

NPI assigned

Sep 6, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Freedom of Speech Therapy LLC

  • Clinic/Center
  • Festus, MO
  • NPI 1114670742

  Speech-Language Pathologist

  NPD
• Team Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Broken Bow, NE
  • NPI 1578595625
  NPD (past)

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

{
    "created_epoch": "1757116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1184504367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 YMCA DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282617",
            "telephone_number": "636-465-0726",
            "fax_number": "636-465-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 YMCA DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282617",
            "telephone_number": "636-465-0726",
            "fax_number": "636-465-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERR",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-06",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2024026851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Marcus Dickneite, PT
• Jennifer Ann Diebold, AU.D.
• Samantha A Dinello, CCC-SLP
• Doering Prescriptions Inc
• Dale E Doerr, M.D.
• Lindsay Doerrer
• Chandra B. Dommaraju, M.D.
• Erin Patricia Donovan, RNCPNP
• Rajen H Doshi, MD
• Kelly Jill Dougherty, MD

• Speech-Language Pathologist in Festus, MO
• Providers in Festus, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; 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.