Individual provider Active NPI

Susannah Bell

  • Speech-Language Pathologist
  • Ann Arbor, MI
National Provider Identifier
1962880815
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101004341 Issued in MI
Practice address
1955 Pauline Blvd
Ste 100C
Ann Arbor, MI 48103-5003
Phone
(734) 769-0505
Fax
(734) 769-0797
NPI assigned
May 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101004341 MI Primary

Addresses

Primary practice location

1955 Pauline Blvd
Ste 100C
Ann Arbor, MI 48103-5003

Mailing address

1955 Pauline Blvd
Ste 100C
Ann Arbor, MI 48103-5003
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

LicenseStateTypeSpecialty
7101004341MIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1962880815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 PAULINE BLVD",
            "address_2": "STE 100C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035003",
            "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": "1955 PAULINE BLVD",
            "address_2": "STE 100C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035003",
            "telephone_number": "734-769-0505",
            "fax_number": "734-769-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "SUSANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004341",
            "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 12, 2015; 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.