KELLY LYNN DEJONG MA,CF-SLP - NPI 1164308987 - Speech-Language Pathologist in Parkersburg, IA

Q: What is Kelly Dejong's NPI number?

The NPI number for Kelly Dejong is 1164308987. It was assigned to this individual provider in the NPPES registry on August 15, 2025.

Q: What is Kelly Dejong'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 Kelly Dejong was last updated on August 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kelly Lynn Dejong Ma,cf-slp NPPES

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

KELLY LYNN DEJONG MA,CF-SLP (NPI 1164308987) is an individual speech-language pathologist provider in Parkersburg, Iowa, licensed in Iowa (129834) and active in the NPI registry since August 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1164308987

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLY LYNN DEJONGCredential: MA,CF-SLP

Location Address1306 HIGHWAY 57 STE BParkersburg, IA 50665-1075

Mailing Address1306 Highway 57 Ste BParkersburg, IA 50665-1075 · (319) 346-9783 · Fax (319) 346-9785

Phone(319) 346-9783

Fax(319) 346-9785

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 15, 2025

NPPES CertifiedAugust 15, 2025

✔ NPI 1164308987 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 IA · 129834

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.

1306 HIGHWAY 57 STE B, Parkersburg, IA 50665

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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)

Kelly Lynn Dejong Ma,cf-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476035288

PECOS Enrollment IDI20260302002482

Other Providers at the Same Location NPPES 6

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

JULIA RAE BREWER

Speech-Language Pathologist