Individual provider Active NPI

Kate Emily Dudenhoeffer

  • Speech-Language Pathologist
  • Worthington, OH
National Provider Identifier
1689073421
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.11765 Issued in OH
Practice address
445 E Dublin Granville Rd
Worthington, OH 43085-3192
NPI assigned
Aug 18, 2014
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU
Speech-Language Pathologist 235Z00000X SP.11765 OH Primary

Addresses

Primary practice location

445 E Dublin Granville Rd
Worthington, OH 43085-3192

Mailing address

445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone (614) 844-3800

Other identifiers 1

IdentifierTypeStateIssuer
2615030MedicaidOH

Other names 1

  • Kate Montgomery Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180726002733 OH Practitioner - Qualified Speech Language Pathologist 5597012195 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
I Am Boundless IncGroup PAC ID 9931596103, 17 clinicians

Practice addresses (Care Compare)

445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone 61484438002224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP.11765OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
I Am Boundless, Inc. CurrentSince Jun 30, 2025 Accepting new patients
I Am Boundless, Inc. Speech-Language Pathologist CurrentSince Jun 30, 2025 Accepting new patients
Columbus Therapy Associates, LLC Speech-Language Pathologist CurrentSince Jul 2, 2018 Accepting new patients
Boundless Health, Inc. Speech-Language Pathologist Current Accepting new patients
Boundless Health, Inc. CurrentSince Jun 30, 2025 Accepting new patients
I Am Boundless, Inc Current Accepting new patients
Boundless Health, Inc. Past Accepting new patients

Locations

1335 Dublin Rd
Ste 200B
Columbus, OH 43215
Phone (614) 595-0937

445 E Dublin Granville Rd
Worthington, OH 43085
Phone (614) 844-3100

445 E Dublin Granville Rd
Ste H
Worthington, OH 43085

445 E Granville Rd
Ste G
Worthington, OH 43085
Phone 61484438002224

Interoperability endpoints

  • Direct secure messaging: kate.dudenhoeffer.p1@direct.iamboundless.nextgenshare.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1689073421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-844-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDENHOEFFER",
        "first_name": "KATE",
        "middle_name": "EMILY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.11765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2615030",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "MONTGOMERY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.