Active NPI
Angela Truesdell-Lewis
- Speech-Language Pathologist
- Ann Arbor, MI
National Provider Identifier
1831550490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101004683
- Practice address
- 180 Jackson PLZ
Ann Arbor, MI 48103-1959 - Phone
- (734) 769-0505
- Fax
- (734) 769-0797
- NPI assigned
- Mar 10, 2016
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101004683 | MI | Primary |
Addresses
Primary practice location
180 Jackson PLZ
Ann Arbor, MI 48103-1959
Mailing address
180 Jackson PLZ
Ann Arbor, MI 48103-1959
Phone (734) 769-0505
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 |
|---|---|---|---|
| 7101004683 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1831550490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 JACKSON PLZ",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481031959",
"telephone_number": "734-769-0505",
"fax_number": "734-769-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 JACKSON PLZ",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481031959",
"telephone_number": "734-769-0505",
"fax_number": "734-769-0797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUESDELL-LEWIS",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-10",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101004683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.