Susan Tucker

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101000628 Issued in MI

Practice address

5840 Interface Dr Ste 400
Ann Arbor, MI 48103-9176

Phone

(734) 627-8015

NPI assigned

Jun 25, 2018

Sex

Female

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

Enrolled in MI

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Skills Community Rehabilitation and Associates LLCGroup PAC ID 3678724028, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life Skills Community Rehabilitation & Associates LLC

  • Occupational Therapist
  • Ann Arbor, MI
  • NPI 1871722207

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Life Skills Community Rehabilitation & Associates LLC

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1699624718
  NPD

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1992290738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 INTERFACE DR STE 400",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039176",
            "telephone_number": "734-627-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 INTERFACE DR STE 400",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039176",
            "telephone_number": "734-627-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciatta Tucker
• David Tucker
• Katherine Tucker
• Meagan Janelle Tucker, OD
• Ryan Vincent Tucker, M.D.
• Tarisa Marie Tugun, OTR/L
• Aleco E Tujios, DDS
• Asmita Tuladhar
• Rosalyn Elaine Tulip, MIDWIFE
• Julia Michelina Tullio, MD

• Speech-Language Pathologist in Ann Arbor, MI
• Providers in Ann Arbor, 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 Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.