Katelynn Doherty

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-1230 Issued in WY

Practice address

1981 Double Eagle Dr Ste a
Sheridan, WY 82801-2132

Phone

(307) 429-0837

Fax

(307) 215-1512

NPI assigned

Sep 9, 2021

Last updated

Sep 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: info@connectspeech.org

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.

• Connect Speech Therapy LLC

  • Speech-Language Pathologist
  • Sheridan, WY
  • NPI 1144818964
  NPD
• One Hole Too Many LLC

  dba Purpose Physical Therapy

  • Physical Therapist
  • Sheridan, WY
  • NPI 1316582976
  NPD (past)

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1699444042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 CROSS CREEK CT",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828018818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 DOUBLE EAGLE DR STE A",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012132",
            "telephone_number": "307-429-0837",
            "fax_number": "307-215-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "KATELYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-1230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@connectspeech.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1981 Double Eagle Dr Ste A",
            "city": "Sheridan",
            "state": "WY",
            "country_code": "US",
            "postal_code": "828012132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diana M. Cline, LLC (Resonance Therapy)
• Carolyn Perry Diaz, LCSW
• Tyler Lee Dickey, M.D.
• DLK1 LLC (Still Waters Behavioral Health)
• DME Billing Enterprises LLC
• Sarah Frances Wontrobski Doorn
• Lacey R Dorman, M.S., LPC, NCC
• William Edward Doughty, MD
• Dr Safe Health PC
• Driftline Behavioral Health, LLC

• Speech-Language Pathologist in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Speech-Language Pathologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.