TIMOTHY JOHN ZMUDKA (NPI# 1629574033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629574033 |
| Entity Type | Individual |
| Full Name | TIMOTHY JOHN ZMUDKA |
| Credential | CF-SLP |
| Practice Address |
2950 Lafranier Rd Traverse City MI 49686-4918 |
| Mailing Address |
2261 Tremont Blvd Nw Grand Rapids MI 49504-4709 |
| Practice Telephone | 2319470506 |
| Mailing Telephone | 6168265036 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7101005744 | MI | Speech, Language and Hearing Service Providers |
| Street Address |
2950 LAFRANIER RD |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750338521 | Birchwood Nursing Center Inc. | Skilled Nursing Facility | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2006-05-27 |
| 1861957037 | Michael Adam Gold | Nurse Practitioner | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2019-02-01 |
| 1063996056 | Nicole Ketcik | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2018-09-17 |
| 1497246367 | Andrea M Fritz | Occupational Therapist | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2018-05-25 |
| 1619470796 | Jessie Stockwell | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2018-03-14 |
| 1134645419 | Gtc Opco, LLC | Skilled Nursing Facility | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2017-08-17 |
| 1972030864 | Chelsea Renell Fitzpatrick | Dietitian, Registered | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2017-05-22 |
| 1023568110 | Clay Lemcool Maxwell Lemcool | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2016-10-12 |
| 1861941056 | Sarah Gaby | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2016-09-28 |
| 1609229665 | Cheryl Ann Walch | Nurse Practitioner | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2016-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926135 | Sarah E Schin | Speech-Language Pathologist | 2389 Twin Eagles Dr, Traverse City, MI 49686-9308 | 2019-11-09 |
| 1134785355 | Paula Jean Austin | Speech-Language Pathologist | 771 S West Silver Lake Rd, Traverse City, MI 49685-8530 | 2019-05-13 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1194262824 | Beth Westrate | Speech-Language Pathologist | 437 1/2 W 7th St, Traverse City, MI 49684-2430 | 2017-01-19 |
| 1942639422 | Rena Spencer | Speech-Language Pathologist | 5208 Liberty Dr, Traverse City, MI 49685-9737 | 2013-11-05 |
| 1447696299 | Linda Rysberg | Speech-Language Pathologist | 2489 N Us Hwy 31 N, Traverse City, MI 49686-3700 | 2013-05-21 |
| 1992902431 | Kristen Thomas | Speech-Language Pathologist | 1810 Chartwell Dr, Traverse City, MI 49696-9283 | 2007-06-28 |
| 1629695424 | Paige E Cornillie | Speech-Language Pathologist | 1810 Chartwell Dr, Traverse City, MI 49696-9283 | 2020-06-29 |
| 1265054936 | Erynne Louise Russell | Speech-Language Pathologist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2020-05-15 |
| 1821624545 | Susan Carol Spencer | Speech-Language Pathologist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2020-03-13 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.