Jarred Ryan Dutka, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30004880 Issued in NC

Practice address

4012 Park Rd Ste 200
Suite 200
Charlotte, NC 28209-2378

Phone

(704) 332-4834

NPI assigned

Feb 24, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1972457232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 PARK RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092378",
            "telephone_number": "704-332-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 PARK RD STE 200",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092378",
            "telephone_number": "704-332-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTKA",
        "first_name": "JARRED",
        "middle_name": "RYAN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30004880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Duru
• Ashli Duryea
• Adrian Cristian Dusa, M.D.
• Kelly Sanders Dusek, LPC, LCMHC
• Attallah Dutes
• Manikankana Dutta, PT, DPT
• Carolyn Dutton
• Diane Szaflarski Dutton, D.O
• James Walter Dutton Jr., M.D.
• Margaret Stephanie Dutton, MD

• Speech-Language Pathologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.