Active NPI
Julia Tans, M.S., CCC-SLP
- Speech-Language Pathologist
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101008784
- Practice address
- 1910 E Apple Ave Ste H
Muskegon, MI 49442-4281 - Phone
- (231) 333-9148
- NPI assigned
- Aug 10, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TSLP13196 | AZ | |
| Speech-Language Pathologist | 235Z00000X | SLP13196 | AZ | |
| Speech-Language Pathologist | 235Z00000X | 7101008784 | MI | Primary |
Addresses
Primary practice location
1910 E Apple Ave Ste H
Muskegon, MI 49442-4281
Mailing address
5051 36TH Ave
Hudsonville, MI 49426-1611
Phone (616) 322-3985
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP13196 | AZ | MD | Speech-Language Pathologist |
| TSLP13196 | AZ | MD | Speech-Language Pathologist |
| 7101008784 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Michigan, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
9444 Lapeer Rd
Unit 6
Davison, MI 48423
Phone (810) 652-8650
135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272
1910 E Apple Ave
Ste H
Muskegon, MI 49442
Phone (231) 333-9148
1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Fenton, MI
- NPI 1104337120
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1104591353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5051 36TH AVE",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494261611",
"telephone_number": "616-322-3985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 E APPLE AVE STE H",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494424281",
"telephone_number": "231-333-9148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANS",
"first_name": "JULIA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP13196",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP13196",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101008784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.