Timothy John Zmudka, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005744 Issued in MI

Practice address

2950 Lafranier Rd
Traverse City, MI 49686-4918

Phone

(231) 947-0506

NPI assigned

Apr 4, 2018

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1629574033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 TREMONT BLVD NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044709",
            "telephone_number": "616-826-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 LAFRANIER RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864918",
            "telephone_number": "231-947-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZMUDKA",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Zimmerman, DPT
• Allison Zimpfer, LMSW
• Emily Zingg
• Jessica Maria Zionskowski
• Lisa M Zipser, MSW
• Allison Beth Zoglio
• Elizabeth Ann Zokas, NP
• Eugene Zolotarevsky, MD
• Jonathan Bradley Zoutendam, DDS
• Peter Joseph Zoutendyk Jr., MSW

• Speech-Language Pathologist in Traverse City, MI
• Providers in Traverse City, 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 Apr 4, 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.