Active NPI
Gina Glynn
- Speech-Language Pathologist
- Columbus, OH
National Provider Identifier
1912377904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.11181
- Practice address
- 700 Childrens Dr
Columbus, OH 43205-2664 - Phone
- (614) 722-3937
- Fax
- (614) 722-6746
- NPI assigned
- Oct 2, 2015
- 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.11181 | OH | Primary |
Addresses
Primary practice location
700 Childrens Dr
Columbus, OH 43205-2664
Mailing address
700 Childrens Dr
Columbus, OH 43205-2639
Other practice location 1
2003 W 4th St
Ontario, OH 44906-1865
Phone (567) 307-6008
Other practice location 2
26 Hospital Dr
Athens, OH 45701-2471
Phone (614) 722-2200
Other practice location 3
405 Butterfly Gardens Dr
Columbus, OH 43215-4985
Phone (614) 722-6200
Other practice location 4
399 E Main St
Newark, OH 43055-6516
Phone (614) 355-9779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0032286 | 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 |
|---|---|---|---|
| SP.11181 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1912377904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664",
"telephone_number": "614-722-3937",
"fax_number": "614-722-6746"
}
],
"practiceLocations": [
{
"address_1": "2003 W 4th St",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "OH",
"postal_code": "449061865",
"country_code": "US",
"telephone_number": "567-307-6008",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "OH",
"postal_code": "457012471",
"country_code": "US",
"telephone_number": "614-722-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 Butterfly Gardens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432154985",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "399 E Main St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "OH",
"postal_code": "430556516",
"country_code": "US",
"telephone_number": "614-355-9779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLYNN",
"first_name": "GINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-02",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.11181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0032286",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.