Individual provider Active NPI

Tania Riske, SLP

  • Speech-Language Pathologist
  • Bloomer, WI
National Provider Identifier
1124250436
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3236154 Issued in WI
Practice address
1501 Thompson St
Bloomer, WI 54724
Phone
(715) 568-4650
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 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 3236154 WI Primary

Addresses

Primary practice location

1501 Thompson St
Bloomer, WI 54724

Mailing address

200 1St St SW
Rochester, MN 55905-0002
Phone (715) 838-5222

Other practice location 1

1405 Truax Blvd
Eau Claire, WI 54703-1474
Phone (715) 552-1030 ext. 106

Other practice location 2

1405 Truax Blvd
Eau Claire, WI 54703-1474
Phone (715) 552-1030 ext. 106

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address triske22813@ehrdirect.mayoclinicmsg.org

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
3236154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1124250436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050002",
            "telephone_number": "715-838-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 THOMPSON ST",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "54724",
            "telephone_number": "715-568-4650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 Truax Blvd",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547031474",
            "country_code": "US",
            "telephone_number": "715-552-1030 x106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 Truax Blvd",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547031474",
            "country_code": "US",
            "telephone_number": "715-552-1030 x106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISKE",
        "first_name": "TANIA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3236154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "triske22813@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "1501 Thompson St",
            "city": "Bloomer",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.