Individual provider Active NPI

Ashley Mae Lewandowski, M.A., CCC-SLP, CBIS

  • Speech-Language Pathologist
  • Traverse City, MI
National Provider Identifier
1134566474
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
L974111 Issued in MI
Practice address
812 S Garfield Ave Ste 1
Traverse City, MI 49686-3456
Phone
(231) 421-9201
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X L974111 MI Primary

Addresses

Primary practice location

812 S Garfield Ave Ste 1
Traverse City, MI 49686-3456

Mailing address

812 S Garfield Ave Ste 1
Traverse City, MI 49686-3456
Phone (231) 421-9201

Other practice location 1

8512 Cedar Run Rd
Traverse City, MI 49684-9680
Phone (989) 954-8054

Other names 1

  • Mrs. Ashley Mae Coldwell Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
L974111MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech for All Seasons CurrentSince May 8, 2022 Accepting new patients
The Abby D Center, Inc. Speech-Language Pathologist Past Accepting new patients
Advanced Therapy Group, LLC PastSince Nov 18, 2017 Accepting new patients

Locations

812 S Garfield Ave
Ste 1
Traverse City, MI 49686
Phone (231) 421-9201

Organizations & group practices 3

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": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1134566474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 S GARFIELD AVE STE 1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863456",
            "telephone_number": "231-421-9201",
            "fax_number": "231-421-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 S GARFIELD AVE STE 1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863456",
            "telephone_number": "231-421-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8512 Cedar Run Rd",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496849680",
            "country_code": "US",
            "telephone_number": "989-954-8054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWANDOWSKI",
        "first_name": "ASHLEY",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP, CBIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "L974111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "COLDWELL",
            "middle_name": "MAE",
            "prefix": "MRS.",
            "credential": "M.A., CF-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.