Individual provider Active NPI

Julia Tans, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Muskegon, MI
National Provider Identifier
1104591353
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101008784 Issued in MI
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

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SLP13196AZMDSpeech-Language Pathologist
TSLP13196AZMDSpeech-Language Pathologist
7101008784MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Michigan, LLC Speech-Language Pathologist CurrentSince Apr 29, 2024 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.

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.

Verify at the official NPI Registry.