Active NPI
Jenna Emmerick
- Peer Specialist
- Dublin, OH
National Provider Identifier
1902626682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 004789
- Practice address
- 6479 Reflections Dr
Dublin, OH 43017-2374 - Phone
- (380) 266-2407
- NPI assigned
- Oct 16, 2024
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 004789 | OH | Primary |
Addresses
Primary practice location
6479 Reflections Dr
Dublin, OH 43017-2374
Mailing address
6479 Reflections Dr
Dublin, OH 43017-2374
Phone (380) 266-2407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0073955 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004789 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1902626682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6479 REFLECTIONS DR",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430172374",
"telephone_number": "380-266-2407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6479 REFLECTIONS DR",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430172374",
"telephone_number": "380-266-2407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMERICK",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-16",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "004789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0073955",
"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 Feb 11, 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.