Kelly Mims Dougherty, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

99622 Issued in TX

Practice address

1210 Ave G
Olton, TX 79064-0831

Phone

(325) 812-1558

NPI assigned

Sep 10, 2026

Last updated

Sep 10, 2026By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1932019098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 831",
            "city": "OLTON",
            "state": "TX",
            "postal_code": "790640831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 AVE G",
            "city": "OLTON",
            "state": "TX",
            "postal_code": "790640831",
            "telephone_number": "325-812-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "KELLY",
        "middle_name": "MIMS",
        "name_prefix": "Mrs.",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Melisa Arriola
• Amber Bogart, SLP - CFY INTERN
• Kimberly Lorenz PLLC
• Lamb Healthcare Center (Olton Rural Health Clinic)
• Christa L Moyer, NP-C
• Reagan Moyer, SLP
• Olton Clinic

• Midwife in Olton, TX
• Providers in Olton, TX by specialty
• Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.