JACQUELINE F DORRY M.S. CCC-SLP
NPI 1053679118
Speech-Language Pathologist in Mount Airy, NC

Q: What is Jacqueline Dorry's NPI number?

The NPI number for Jacqueline Dorry is 1053679118. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Q: What is Jacqueline Dorry's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Dorry was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 26, 2012

711 W INDEPENDENCE BLVD, MOUNT AIRY, NC 27030(855) 983-0488 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacqueline F Dorry M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE F DORRY M.S. CCC-SLP (NPI 1053679118) is an individual speech-language pathologist provider in Mount Airy, North Carolina, licensed in North Carolina (9910) and active in the NPI registry since April 2012. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1053679118

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameJACQUELINE F DORRYCredential: M.S. CCC-SLP

Location Address711 W INDEPENDENCE BLVDMount Airy, NC 27030-3576

Mailing Address4008 Saint Edmunds LnApex, NC 27539-9790 · (919) 267-0362

Phone(855) 983-0488

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 26, 2012

Last NPPES UpdateApril 8, 2026

NPPES CertifiedApril 8, 2026

✔ NPI 1053679118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in NC · 9910

Definition

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.

711 W INDEPENDENCE BLVD, Mount Airy, NC 27030

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline F Dorry M.s. Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204301039

PECOS Enrollment IDI20260409002157

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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