Kylie Dorman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

117190 Issued in TX

Practice address

4315 Greens Prairie TRL
College Station, TX 77845-2384

Phone

(979) 694-5870

NPI assigned

Sep 15, 2021

Last updated

Sep 15, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1700556354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CRESCENT RIDGE DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 GREENS PRAIRIE TRL",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778452384",
            "telephone_number": "979-694-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "KYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.frontlineeducation.com",
            "affiliation": "N",
            "address_1": "4315 Greens Prairie Trl",
            "city": "College Station",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778452384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Dohrman, RD,LD
• Patricia Domanski
• Amanda Lynne Dominguez, RN,CWOCN
• Asiah Renea Donahue, RBT
• Sidai Dong, PH.D., LP
• Lacy Renee Dorman
• Nicole Dorris
• Jeu B Dott Jr., MD
• Douglas & Associates Psychological Services PLLC
• Lauren Douglas, PA

• Speech-Language Pathologist in College Station, TX
• Providers in College Station, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.