Active NPI
Jacqueline Marie Columbro, MA CCC SLP
- Speech-Language Pathologist
- Cleveland, OH
National Provider Identifier
1649987280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.10746
- Practice address
- 7766 Broadview Rd
Cleveland, OH 44134-6743 - Phone
- (216) 447-8909
- NPI assigned
- Nov 2, 2022
- 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.10746 | OH | Primary |
Addresses
Primary practice location
7766 Broadview Rd
Cleveland, OH 44134-6743
Mailing address
24726 Meadow LN
Westlake, OH 44145-4948
Phone (440) 241-7418
Other practice location 1
16600 W Sprague Rd Ste 265
Cleveland, OH 44130-6318
Phone (216) 227-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
141 Chestnut Hill Dr
Ravenna, OH 44266-3916
Phone (330) 577-5037
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.10746 | OH | MD | Speech-Language Pathologist |
Organizations & group practices 1
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.
-
- Physical Therapist
- Bedford, OH
- NPI 1689194755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1649987280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24726 MEADOW LN",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441454948",
"telephone_number": "440-241-7418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7766 BROADVIEW RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441346743",
"telephone_number": "216-447-8909"
}
],
"practiceLocations": [
{
"address_1": "16600 W Sprague Rd Ste 265",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441306318",
"country_code": "US",
"telephone_number": "216-227-7700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLUMBRO",
"first_name": "JACQUELINE",
"middle_name": "MARIE",
"credential": "MA CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.10746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.