Individual provider Active NPI

Jenna Christine Odoguardi, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Columbus, OH
National Provider Identifier
1285159525
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.13012 Issued in OH
Practice address
2540 Billingsley Rd
Columbus, OH 43235-1990
Phone
(614) 470-2018
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Speech-Language Pathologist 235Z00000X SP.13012 OH Primary

Addresses

Primary practice location

2540 Billingsley Rd
Columbus, OH 43235-1990

Mailing address

7700 Earlston CT
Dublin, OH 43017-8463
Phone (614) 307-4524

Other practice location 1

7690 New Market Center Way
Columbus, OH 43235
Phone (614) 602-6473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP.13012OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Haugland Learning Center Past Accepting new patients
Haugland, Lamarche, and Ramage LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1285159525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 EARLSTON CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430178463",
            "telephone_number": "614-307-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 BILLINGSLEY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351990",
            "telephone_number": "614-470-2018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7690 New Market Center Way",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43235",
            "country_code": "US",
            "telephone_number": "614-602-6473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODOGUARDI",
        "first_name": "JENNA",
        "middle_name": "CHRISTINE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.