Kelly Lynn Dejong, MA,CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

129834 Issued in IA

Practice address

1306 Highway 57 Ste B
Parkersburg, IA 50665-1075

Phone

(319) 346-9783

Fax

(319) 346-9785

NPI assigned

Aug 15, 2025

Last updated

Aug 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in IA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Taylor Physical Therapy Associates LLC

  • Physical Therapist
  • Sumner, IA
  • NPI 1861591745
  Medicare reassignment
• Taylor Physical Therapy Associates, LLC

  dba Taylor Physical Therapy Associates

  • Physical Therapist
  • Denver, IA
  • NPI 1861042178

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1164308987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 HIGHWAY 57 STE B",
            "city": "PARKERSBURG",
            "state": "IA",
            "postal_code": "506651075",
            "telephone_number": "319-346-9783",
            "fax_number": "319-346-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 HIGHWAY 57 STE B",
            "city": "PARKERSBURG",
            "state": "IA",
            "postal_code": "506651075",
            "telephone_number": "319-346-9783",
            "fax_number": "319-346-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJONG",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "MA,CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "129834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Rae Brewer
• Denis Bruflodt, LMHC-TMP
• Cedar Valley Dental Associates PC
• City of Parkersburg (City of Parkersburg Ambulance)
• Jeremy Gene Cordes, DO
• William E Durbin, MD
• Julie Elizabeth Eddy, PT
• Montica Maxine Foxen, ARNP
• Martha A Hall, ARNP
• Health Watch, Inc. (Cedar Valley Medical Monitoring)

• Speech-Language Pathologist in Parkersburg, IA
• Providers in Parkersburg, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.