Active NPI
Joelle Bloom Coulter, MA
- Speech-Language Pathologist
- Columbus, OH
National Provider Identifier
1972023992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.12410
- Practice address
- 510 E North Broadway St
Columbus, OH 43214-4114 - Phone
- (614) 263-5151
- Fax
- (614) 263-5365
- NPI assigned
- Jun 21, 2017
- 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.12410 | OH | Primary |
Addresses
Primary practice location
510 E North Broadway St
Columbus, OH 43214-4114
Mailing address
510 E North Broadway St
Columbus, OH 43214-4114
Phone (614) 263-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0315530 | Medicaid | OH |
Other names 1
- Joelle Bloom Umstead
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.12410 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1972023992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 E NORTH BROADWAY ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432144114",
"telephone_number": "614-263-5151",
"fax_number": "614-263-5365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E NORTH BROADWAY ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432144114",
"telephone_number": "614-263-5151",
"fax_number": "614-263-5365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULTER",
"first_name": "JOELLE",
"middle_name": "BLOOM",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2022-07-21",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.12410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0315530",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOELLE",
"last_name": "UMSTEAD",
"middle_name": "BLOOM",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.