Individual provider Active NPI

Angela Tourdot, MSSW

  • Social Worker
  • Reedsburg, WI
National Provider Identifier
1447588702
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6502-11 Issued in WI
Practice address
425 6TH St
Reedsburg, WI 53959-1202
Phone
(608) 524-7987
NPI assigned
Nov 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6502-11 WI Primary

Addresses

Primary practice location

425 6TH St
Reedsburg, WI 53959-1202

Mailing address

33924 Robin Hollow Rd
Cazenovia, WI 53924-8101
Phone (608) 986-2150

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6502-11WIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1447588702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33924 ROBIN HOLLOW RD",
            "city": "CAZENOVIA",
            "state": "WI",
            "postal_code": "539248101",
            "telephone_number": "608-986-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 6TH ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591202",
            "telephone_number": "608-524-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOURDOT",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "6502-11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.