Rebecca Nielsen Tanis, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1319 W Saint Andrews Rd
Midland, MI 48640-6321

Phone

(231) 838-9203

NPI assigned

Mar 9, 2011

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1114225562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 W SAINT ANDREWS RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406321",
            "telephone_number": "231-838-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 W SAINT ANDREWS RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406321",
            "telephone_number": "231-838-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIS",
        "first_name": "REBECCA",
        "middle_name": "NIELSEN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Szajenko, MD
• Judy Suchey Szydlo
• Piotr Szymczakowski
• Sharon Teresa Szynkowski, PT
• T.J. Nugent D.C., P.L.C.
• Christopher Michael Tasior
• Ariel Dawn Tausk, LLMSW
• Catherine Jeanette Taylor, LMSW, ACSW
• Geraldine Taylor
• Travis C Taylor, DO

• Speech-Language Pathologist in Midland, MI
• Providers in Midland, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.