Active NPI
Jane Kathryn Stahl, CF, CCC-SLP
- Speech-Language Pathologist
- Worthington, OH
National Provider Identifier
1376218362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 20211800
- Practice address
- 445 E Dublin Granville Rd
Worthington, OH 43085-3192 - Phone
- (614) 844-3800
- NPI assigned
- Aug 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 20211800 | OH | Primary |
Addresses
Primary practice location
445 E Dublin Granville Rd
Worthington, OH 43085-3192
Mailing address
445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone (614) 844-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20211800 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boundless Health, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Boundless Health, Inc. | Current | Accepting new patients | |
| Boundless Health, Inc. | Current | Accepting new patients | |
| Boundless Health, Inc. | Past | Accepting new patients |
Locations
140 W Church St
Newark, OH 43055
Phone (740) 334-4056
445 E Granville Rd
Ste G
Worthington, OH 43085
Phone 61484438002224
445 E Dublin Granville Rd
Worthington, OH 43085
Phone (614) 844-3100
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- West Carrollton, OH
- NPI 1447739339
Speech-Language Pathologist
-
- General Practice Physician
- Worthington, OH
- NPI 1346838992
-
- General Practice Dentistry
- Worthington, OH
- NPI 1710575360
-
- Community/Behavioral Health Agency
- Worthington, OH
- NPI 1376506469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1376218362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 E DUBLIN GRANVILLE RD",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430853192",
"telephone_number": "614-844-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 E DUBLIN GRANVILLE RD",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430853192",
"telephone_number": "614-844-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAHL",
"first_name": "JANE",
"middle_name": "KATHRYN",
"credential": "CF, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-11",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "20211800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worthington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.