Active NPI
Jean M Hruschak, MA CCC SLP
- Speech-Language Pathologist
- Dublin, OH
National Provider Identifier
1447768304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2933
- Practice address
- 6342 Tamworth CT
Dublin, OH 43017-1739 - Phone
- (614) 746-8390
- NPI assigned
- Jan 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | OH | ||
| Speech-Language Pathologist | 235Z00000X | 2933 | OH | Primary |
Addresses
Primary practice location
6342 Tamworth CT
Dublin, OH 43017-1739
Mailing address
6342 Tamworth CT
Dublin, OH 43017-1739
Phone (614) 746-8390
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01018758 | Other | AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION | |
| 2933 | Other | OH | SPEECH PATHOLOGY LICENSE |
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 |
|---|---|---|---|
| 2933 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1447768304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6342 TAMWORTH CT",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430171739",
"telephone_number": "614-746-8390",
"fax_number": "614-746-8390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6342 TAMWORTH CT",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430171739",
"telephone_number": "614-746-8390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HRUSCHAK",
"first_name": "JEAN",
"middle_name": "M",
"credential": "MA CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-12",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "2933",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION",
"identifier": "01018758",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH PATHOLOGY LICENSE",
"identifier": "2933",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.