Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407813363 Individual Practitioner Female Practitioner

Kimberly A. Dougherty , MA

Speech-Language Pathologist • Clermont, FL

Professional Overview & Biography Verified Profile Summary

Kimberly Dougherty, MA is a registered healthcare professional specializing in Speech-Language Pathologist in Clermont, FL. Practice services are available at 211 NAUTICA MILE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

211 Nautica Mile Dr

Clermont, FL 347112474

Telephone 3522553629
Fax 4072955808

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Clermont, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
70 Specialists

Practicing in Clermont, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-25
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA7063

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
889799900 (FL)

Secondary Practice Locations

9808 Florida Boys Ranch Rd

Clermont, FL 347118497

Phone: 3522553629

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
👤
Provider Name / Credentials Updated November 25, 2025

Recorded as KIMBERLY DOUGHERTY, M.A.

📍
Updated Practice Location March 13, 2024

Registered at 211 NAUTICA MILE DR, CLERMONT, FL 347112474 (Tel: 3522553629)

📍
Updated Business Mailing Address March 13, 2024

Registered at 211 NAUTICA MILE DR, CLERMONT, FL 347112474 (Tel: 3522553629)

👤
Provider Name / Credentials Updated March 13, 2024

Recorded as KIM DOUGHERTY, M.A.

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 10125 W COLONIAL DR, STE 216, OCOEE, FL 347614211 (Tel: 4072952956)

📍
Updated Business Mailing Address July 08, 2007

Registered at 11815 OSPREY POINTE BLVD, CLERMONT, FL 347117656 (Tel: 3522417912)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KIM DOUGHERTY, M.A. CCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #SA7063 in FL)

🟢
Initial NPI Registration & Enumeration April 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407813363
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2006
Last Update: November 25, 2025
Sole Proprietor: Yes

Mailing Address

211 Nautica Mile Dr

Clermont, FL 347112474

Phone: 3522553629

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.