Andrea Rupp, M.ED., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101002094 Issued in MI

Practice address

1136 Country Club Rd Ste a
Adrian, MI 49221

Phone

(517) 265-0293

Fax

(517) 265-7970

NPI assigned

Feb 19, 2016

Last updated

Jul 18, 2018By the provider in NPPES

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)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1538528427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 EASTBROOK DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436133925",
            "telephone_number": "419-509-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 COUNTRY CLUB RD STE A",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "49221",
            "telephone_number": "517-265-0293",
            "fax_number": "517-265-7970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Kimole Lane, Suite 110",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "49221",
            "country_code": "US",
            "telephone_number": "517-265-0950",
            "fax_number": "517-265-0153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Kimole Ln",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492211478",
            "country_code": "US",
            "telephone_number": "517-265-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUPP",
        "first_name": "ANDREA",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101002094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Patrice Ross, DDS
• Anthony Michael Rossi, ATC, CSCS, NREMT
• Loretta Lynn Rozdoske, LLP
• Gayle Ruble Jr.
• Hannah Rukkila, OTR/L
• Nancy Rupp, PT
• Meghan Kimberly Rutherford, FNP-C
• Roxanne Rutledge Smith, R.PH.
• Rxearth
• Kevin James Rybicki, PHARMACIST

• Speech-Language Pathologist in Adrian, MI
• Providers in Adrian, 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 Jul 18, 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.