Active NPI
Kim Lee Doherty
- Day Training/Habilitation Specialist
- Atascadero, CA
National Provider Identifier
1952047854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 5575 Hospital Drive
Atascadero, CA 93422 - Phone
- (805) 461-6048
- NPI assigned
- May 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Behavior Technician | 106S00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | CA | Primary | |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
5575 Hospital Drive
Atascadero, CA 93422
Mailing address
1955 Sunset Ave
Morro Bay, CA 93442-1649
Phone (805) 835-5729
Other practice location 1
805 4th
Paso Robles, CA 93446
Phone (805) 226-3260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1952047854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1955 SUNSET AVE",
"city": "MORRO BAY",
"state": "CA",
"postal_code": "934421649",
"telephone_number": "805-835-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 HOSPITAL DRIVE",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "93422",
"telephone_number": "805-461-6048"
}
],
"practiceLocations": [
{
"address_1": "805 4th",
"address_purpose": "LOCATION",
"city": "Paso Robles",
"state": "CA",
"postal_code": "93446",
"country_code": "US",
"telephone_number": "805-226-3260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOHERTY",
"first_name": "KIM",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-12",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.