Jacqueline W Culley, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.10515 Issued in OH

Practice address

30 Northwoods Blvd
Columbus, OH 43235-4716

Phone

(614) 545-8300

NPI assigned

Jul 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Flourish Integrated Therapy, LLC

  • Speech-Language Pathologist
  • Columbus, OH
  • NPI 1891042370
  NPD Authorized official

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1679837975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NORTHWOODS BLVD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NORTHWOODS BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354716",
            "telephone_number": "614-545-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEY",
        "first_name": "JACQUELINE",
        "middle_name": "W",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.10515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Cuevas
• Michelle Cugino, DO
• Anna Cullen
• Kaleigh Cullen
• Tiffany L Cullen, LCDCII
• Jason T. Culley, DDS
• Guy Cullison
• Deborah L Culp, PCC
• Joseph Mason Culp, CNP
• Melissa Culp, RN

• Speech-Language Pathologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.