Individual provider Active NPI

Jennifer Dawn Ujcich, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Hilliard, OH
National Provider Identifier
1710479555
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
07016 Issued in OH
Practice address
3693 Hilliard Station Rd
Hilliard, OH 43026-9336
Phone
(614) 657-5673
Fax
(614) 534-0976
NPI assigned
Jun 6, 2018
Last updated
Jun 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 07016 OH Primary

Addresses

Primary practice location

3693 Hilliard Station Rd
Hilliard, OH 43026-9336

Mailing address

3693 Hilliard Station Rd
Hilliard, OH 43026-9336
Phone (614) 657-5673

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

LicenseStateTypeSpecialty
07016OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Area Speech Therapy Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1710479555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3693 HILLIARD STATION RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430269336",
            "telephone_number": "614-657-5673",
            "fax_number": "614-534-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3693 HILLIARD STATION RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430269336",
            "telephone_number": "614-657-5673",
            "fax_number": "614-534-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UJCICH",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "07016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.

Verify at the official NPI Registry.