Active NPI
Tammy L Trudell Hull, LMSW
- Social Worker
- Middleville, MI
National Provider Identifier
1346308780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- L797306
- Practice address
- 402 Thornton St
Middleville, MI 49333 - Phone
- (269) 795-2243
- Fax
- (269) 795-5315
- NPI assigned
- Dec 5, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | L797306 | MI | Primary |
Addresses
Primary practice location
402 Thornton St
Middleville, MI 49333
Mailing address
PO Box 339
402 Thornton St
Middleville, MI 49333
Phone (269) 795-2243
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8008966970 | Other | MI | BCBS |
| 7157369 | Other | AETNA |
Other names 1
- Ms. Tammy L Trudell
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L797306 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shared-Steps Counseling & Consultation Services PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cognitive & Behavioral Psychologist
- Middleville, MI
- NPI 1558635094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346308780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 339",
"address_2": "402 THORNTON ST",
"city": "MIDDLEVILLE",
"state": "MI",
"postal_code": "49333",
"telephone_number": "269-795-2243",
"fax_number": "269-795-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 THORNTON ST",
"city": "MIDDLEVILLE",
"state": "MI",
"postal_code": "49333",
"telephone_number": "269-795-2243",
"fax_number": "269-795-5315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUDELL HULL",
"first_name": "TAMMY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "L797306",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8008966970",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7157369",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAMMY",
"last_name": "TRUDELL",
"middle_name": "L",
"prefix": "MS.",
"credential": "LMSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Middleville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.