Jenna Rose Rutkowski

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.16235 Issued in OH

Practice address

580 Lincoln Park Blvd Ste 105
Kettering, OH 45429-3556

Phone

(937) 499-1435

NPI assigned

Oct 28, 2024

Last updated

Aug 28, 2026By the provider in NPPES

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

Other names 1

• Jenna Rose Vaaler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• RCHP-Sierra Vista Inc

  dba Canyon Vista Medical Center

  • Rehabilitation Hospital Unit
  • Sierra Vista, AZ
  • NPI 1194581546
  NPD (past)

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1841012382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 LINCOLN PARK BLVD STE 105",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293556",
            "telephone_number": "937-499-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 LINCOLN PARK BLVD STE 105",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293556",
            "telephone_number": "937-499-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKOWSKI",
        "first_name": "JENNA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.16235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "VAALER",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aimee George Russell, M.D.
• Jennifer Lynn Russell
• Misozi Russell
• Raymond G. Russell, M.D.
• Karla Ruth
• Ryan Hinman MD LLC
• Carol Gaut Ryan, MD
• Tarek M Sabagh, MD
• Douglas C Sacksteder, DC
• Malek Mohamad Safa, M.D.

• Speech-Language Pathologist in Kettering, OH
• Providers in Kettering, 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 Aug 28, 2026; 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.