Active NPI
Tia Jackson, M.A., CCC-SLP
- Speech-Language Pathologist
- Columbus, OH
National Provider Identifier
1386067585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.9410
- Practice address
- 1545 Huy Rd
Columbus City Schools Speech Department
Columbus, OH 43224-3531 - Phone
- (614) 365-5977
- NPI assigned
- Jan 24, 2014
- 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 | SP.9410 | OH | Primary |
Addresses
Primary practice location
1545 Huy Rd
Columbus City Schools Speech Department
Columbus, OH 43224-3531
Mailing address
4360 Greensbury Dr
New Albany, OH 43054-9055
Phone (614) 946-7836
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP.9410 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1386067585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4360 GREENSBURY DR",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430549055",
"telephone_number": "614-946-7836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 HUY RD",
"address_2": "COLUMBUS CITY SCHOOLS SPEECH DEPARTMENT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432243531",
"telephone_number": "614-365-5977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "TIA",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-24",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.9410",
"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 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.