Individual provider Active NPI

Angelica Wozniak

  • Speech-Language Pathologist
  • Coldwater, MI
National Provider Identifier
1972174100
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7152000050 Issued in MI
Practice address
90 N Michigan Ave
Coldwater, MI 49036-1527
Phone
(708) 717-7452
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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 7152000050 MI Primary

Addresses

Primary practice location

90 N Michigan Ave
Coldwater, MI 49036-1527

Mailing address

90 N Michigan Ave
Coldwater, MI 49036-1527
Phone (708) 717-7452

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL coldwater_rehab@cienafacilities.com Direct OAK HEALTH CARE INVESTORS OF COLDWATER, INC.

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

State licenses

LicenseStateTypeSpecialty
7152000050MIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1972174100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 N MICHIGAN AVE",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361527",
            "telephone_number": "708-717-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 N MICHIGAN AVE",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361527",
            "telephone_number": "708-717-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOZNIAK",
        "first_name": "ANGELICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7152000050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "coldwater_rehab@cienafacilities.com",
            "affiliation": "Y",
            "endpointDescription": "SNF provider",
            "affiliationName": "OAK HEALTH CARE INVESTORS OF COLDWATER, INC.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SNF provider",
            "address_1": "90 N Michigan Ave",
            "city": "Coldwater",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490361527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.