Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477819415 Individual Practitioner Female Practitioner

Jenna Kirk , SP

Speech-Language Pathologist • Groveport, OH

Professional Overview & Biography Verified Profile Summary

Jenna Kirk, SP is a registered healthcare professional specializing in Speech-Language Pathologist in Groveport, OH. Practice services are available at 4400 MARKETING PL STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4400 Marketing Pl Ste B

Groveport, OH 431259308

Telephone 6144922520
Associated Practice Facility / Clinic
🏢 Groveport Madison Local Sd Facility NPI 1770750291

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Groveport, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
11 Specialists

Practicing in Groveport, OH (7718 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-22
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OH SP.10069

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0094740 (OH)
Commercial Insurance / Payer ID Speech Pathology Board
SP.10069 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Haleigh Gallagher , MA, CCC-SLP

Speech-Language Pathologist

NPI 1013685742

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1124838677

Doctor of Occupational Therapy, Occupational Therapist Registered, L, Certified Phlebotomy Technician

Rachael Mays

Physical Therapist

NPI 1154473130
Cynthia Goral

Psychologist - School

NPI 1205246642
Nicole Walter

Psychologist - School

NPI 1225449895
Lacey Godfrey , OTR, L

Occupational Therapist

NPI 1285599944

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location August 22, 2024

Registered at 4400 MARKETING PL STE B, GROVEPORT, OH 431259308 (Tel: 6144922520)

📍
Updated Business Mailing Address August 22, 2024

Registered at 10063 ALLEN RD, PICKERINGTON, OH 431479404 (Tel: 7404127764)

👤
Provider Name / Credentials Updated August 22, 2024

Recorded as JENNA KIRK, SP

NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2017

Registered at 200 W WILSON BRIDGE RD, WORTHINGTON, OH 430852216 (Tel: 7404506000)

📍
Updated Business Mailing Address May 11, 2017

Registered at 2379 SAWBURY BLVD, COLUMBUS, OH 432356520 (Tel: 7404127764)

👤
Provider Name / Credentials Updated May 11, 2017

Recorded as JENNA RAYBURN, SP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Speech-Language Pathologist (License #SP.10069 in OH)

NPI Profile Active March 13, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2013

Registered at 494 W CENTRAL AVE, DELAWARE, OH 430151470 (Tel: 7403693650)

📍
Updated Business Mailing Address March 13, 2013

Registered at 494 W CENTRAL AVE, DELAWARE, OH 430151470 (Tel: 7403693650)

👤
Provider Name / Credentials Updated March 13, 2013

Recorded as JENNA RAYBURN, SP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2013

Speech-Language Pathologist (License #SP.10069 in OH)

🟢
Initial NPI Registration & Enumeration April 04, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477819415
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2012
Last Update: August 22, 2024
Sole Proprietor: No

Mailing Address

10063 Allen Rd

Pickerington, OH 431479404

Phone: 7404127764

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.