Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104951870 Individual Practitioner Female Practitioner

Debra J Kellogg

Speech-Language Pathologist • Williston, ND

Professional Overview & Biography Verified Profile Summary

Debra Kellogg is a registered healthcare professional specializing in Speech-Language Pathologist in Williston, ND. Practice services are available at 1415 W DAKOTA PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1415 W Dakota Pkwy

Williston, ND 588013885

Telephone 7015726757
Fax 7017443532
Associated Practice Facility / Clinic
🏢 Wilmac Special Education Unit Facility NPI 1225185457

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Williston, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
40 Specialists

Practicing in Williston, ND (1024 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ND 264

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
58577 (ND)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Brenda Schafer

Speech-Language Pathologist

NPI 1033416771
Lynn Haugeberg

Speech-Language Pathologist

NPI 1043345705
Kindra Donvan , MS OTR, L

Occupational Therapist

NPI 1114304581

MSOTR, L

April Wallner

Speech-Language Pathologist

NPI 1134256241
Joann Horner Ross

Speech-Language Pathologist

NPI 1326181736
Erica Mock

Speech-Language Pathologist

NPI 1336389311

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1415 W DAKOTA PKWY, WILLISTON, ND 588013885 (Tel: 7015726757)

📍
Updated Business Mailing Address July 09, 2007

Registered at 913 12TH ST SE, WATFORD CITY, ND 588546711 (Tel: 7018426226)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as DEBRA KELLOGG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #264 in ND)

🟢
Initial NPI Registration & Enumeration February 22, 2007

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: 1104951870
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2007
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

913 12th St Se

Watford City, ND 588546711

Phone: 7018426226

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.