REBECCA NIELSEN TANIS (MA, CCC-SLP) – Speech-Language Pathologist, NPI 1114225562

REBECCA NIELSEN TANIS (MA, CCC-SLP) is a healthcare provider. based in Petoskey, Michigan. specializing in Speech-Language Pathologist. They hold the professional credentials MA, CCC-SLP. The NPI Number for REBECCA NIELSEN TANIS (MA, CCC-SLP) is 1114225562

Main info

Female
Sole Proprietor
Name
REBECCA NIELSEN TANIS (MA, CCC-SLP)
NPI
1114225562
Phone
(231) 838-9203
Address
704 E LAKE ST
Enumeration Date
9 March 2011
Last Update Date
30 January 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for REBECCA NIELSEN TANIS (MA, CCC-SLP)

  • 704 E LAKE ST

    PETOSKEY, MI 497702525

    Phone: (231) 838-9203

    Type: Mailing

  • 1319 W SAINT ANDREWS RD

    MIDLAND, MI 486406321

    Phone: (231) 838-9203

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49770)

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Frequently asked questions

What unique ID ties claims to REBECCA NIELSEN TANIS (MA, CCC-SLP)?
NPI 1114225562 is assigned to REBECCA NIELSEN TANIS (MA, CCC-SLP) under the national enumeration system.
Is REBECCA NIELSEN TANIS (MA, CCC-SLP) currently active in the NPI registry?
CMS-published data lists REBECCA NIELSEN TANIS (MA, CCC-SLP) as an active registrant.
Does REBECCA NIELSEN TANIS (MA, CCC-SLP) list a primary specialty?
If you are matching referrals, note Speech-Language Pathologist for REBECCA NIELSEN TANIS (MA, CCC-SLP). Clinical services aligned with this taxonomy classification.
Where is REBECCA NIELSEN TANIS (MA, CCC-SLP)'s primary listing?
We display Petoskey, Michigan because that is what the record indicates for REBECCA NIELSEN TANIS (MA, CCC-SLP).
Is REBECCA NIELSEN TANIS (MA, CCC-SLP) a real provider?
This page reflects official NPPES data for NPI 1114225562. Always confirm identity and privileges with the practice and licensing boards.

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