DEBRA J KELLOGG (NPI# 1104951870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104951870 |
| Entity Type | Individual |
| Full Name | DEBRA J KELLOGG |
| Practice Address |
1415 W Dakota Pkwy Williston ND 58801-3885 |
| Mailing Address |
913 12th St Se Watford City ND 58854-6711 |
| Practice Telephone | 7015726757 |
| Practice Fax Number | 7017443532 |
| Mailing Telephone | 7018426226 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 264 | ND | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 58577 | 05 |
| Street Address |
1415 W DAKOTA PKWY |
| City | WILLISTON |
| State | ND |
| Zip Code | 58801-3885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801939848 | Teresa Anfinson | Speech-Language Pathologist | 1415 W Dakota Pkwy, Williston, ND 58801-3885 | 2007-02-15 |
| 1033416771 | Brenda Kay Schafer | Speech-Language Pathologist | 1415 W Dakota Pkwy, Williston, ND 58801-3885 | 2011-02-15 |
| 1336389311 | Erica Mock | Speech-Language Pathologist | 1415 W Dakota Pkwy, Williston, ND 58801-3885 | 2009-03-03 |
| 1447424874 | Kristin Pacheco | Speech-Language Pathologist | 1415 W Dakota Pkwy, Williston, ND 58801-3885 | 2008-04-16 |
| 1649450453 | Monica Lynn Sem | Occupational Therapist | 1415 W Dakota Pkwy, Williston, ND 58801-3885 | 2007-11-08 |
| 1437286945 | Chris Ann Demaray | Occupational Therapy Assistant | 1415 W Dakota Pkwy, Williston, ND 58801-3885 | 2007-02-28 |
| 1134256241 | April Wallner | Speech-Language Pathologist | 1415 W Dakota Pkwy, Williston, ND 58801-3885 | 2007-02-27 |
| 1376670448 | Sarah Delorme | Speech-Language Pathologist | 1415 W Dakota Pkwy, Williston, ND 58801-3885 | 2007-02-27 |
| 1043345705 | Lynn R Haugeberg | Speech-Language Pathologist | 1415 W Dakota Pkwy, Williston, ND 58801-3885 | 2007-02-22 |
| 1881729010 | Michelle Lux | Speech-Language Pathologist | 1415 W Dakota Pkwy, Williston, ND 58801-3885 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
| 1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1316485634 | Theresa E Scully | Social Worker | 125 Main St; Unit 220, Williston, ND 58801 | 2017-02-07 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
| 1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
| Find all providers in zip 58801 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841753191 | Jennifer Fetters | Speech-Language Pathologist | 56 Chelsea Pl, Williston, VT 05495-9372 | 2019-04-12 |
| 1619323136 | Theresa Korth | Speech-Language Pathologist | 3514 33rd Ave W, Unit 26, Williston, ND 58801-6940 | 2016-05-13 |
| 1912242223 | Williston Center for Pediatric Therapy | Speech-Language Pathologist | 1106 2nd St W, Williston, ND 58801-5804 | 2012-11-28 |
| 1184989238 | Ashley Nicole Hare | Speech-Language Pathologist | 40 Nw 1st St, Williston, FL 32696-2053 | 2012-07-05 |
| 1902115017 | Candace Wakefield | Speech-Language Pathologist | 497 Talcott Rd, Williston, VT 05495-2028 | 2010-10-07 |
| 1275856312 | Sarah O. Francisco | Speech-Language Pathologist | 4517 Oak Hill Rd, Williston, VT 05495-7059 | 2010-03-03 |
| 1881920551 | Jennifer Nicole Lemieux | Speech-Language Pathologist | 388 Brennan Woods Dr, Williston, VT 05495-8904 | 2009-10-30 |
| 1437318268 | Brittany Kirsten Vickers | Speech-Language Pathologist | 205 11th St E, Williston, ND 58801-5445 | 2008-06-06 |
| 1710187281 | Tiffany Meador Stapleton | Speech-Language Pathologist | 190 Bunker Cir, Williston, SC 29853-6402 | 2007-07-23 |
| 1821125311 | Susan Ulness | Speech-Language Pathologist | 222 University Ave, Williston, ND 58801-5658 | 2007-02-28 |
| Find all providers in WILLISTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.