Individual provider Active NPI

Joel Todd Redlawsk

  • Peer Specialist
  • Saginaw, MI
National Provider Identifier
1902247406
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
304 S Niagara St
Saginaw, MI 48602-1570
Phone
(989) 799-6542
Fax
(989) 799-6681
NPI assigned
Jul 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

304 S Niagara St
Saginaw, MI 48602-1570

Mailing address

304 S. Niagra St.
Saginaw, MI 48602-1570
Phone (989) 799-6542

Other names 1

  • Joel Todd Redlawsk Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1902247406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S. NIAGRA ST.",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486021570",
            "telephone_number": "989-799-6542",
            "fax_number": "989-799-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S NIAGARA ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486021570",
            "telephone_number": "989-799-6542",
            "fax_number": "989-799-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDLAWSK",
        "first_name": "JOEL",
        "middle_name": "TODD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-12",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOEL",
            "last_name": "REDLAWSK",
            "middle_name": "TODD",
            "credential": "CPSS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.