Active NPI
Jeremy Reutebuch, BA
- Student in an Organized Health Care Education/Training Program
- Madison, WI
National Provider Identifier
1124889373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 702 W Main St
Madison, WI 53715-1424 - Phone
- (608) 280-2600
- NPI assigned
- Jan 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
702 W Main St
Madison, WI 53715-1424
Mailing address
25 Kessel CT Ste 105
Madison, WI 53711-6227
Phone (608) 280-2700
Other practice location 1
1320 Mendota St Ste 120
Madison, WI 53714-1060
Phone (608) 280-2700
Other practice location 2
2000 Fordem Ave
Madison, WI 53704-4600
Phone (608) 931-2700
Other practice location 3
208 E Olin Ave
Madison, WI 53713-1413
Phone (608) 280-2700
Other practice location 4
1440 E Wisconsin St
Portage, WI 53901-2552
Phone (608) 280-2700
Other practice location 5
802 E Gorham St
Madison, WI 53703-1524
Phone (608) 260-2700
Other practice location 6
25 Kessel Ct
Madison, WI 53711-6227
Phone (608) 280-2700
Other practice location 7
49 Kessel Ct
Madison, WI 53711-6200
Phone (608) 280-2700
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
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Mental Health Center, Inc. | Past | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Past | Accepting new patients | |
| Journey Mental Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Madison, WI
- NPI 1629275359
-
- Case Management Agency
- Madison, WI
- NPI 1841413879
-
- Health Educator
- Madison, WI
- NPI 1487414082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1124889373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 KESSEL CT STE 105",
"city": "MADISON",
"state": "WI",
"postal_code": "537116227",
"telephone_number": "608-280-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 W MAIN ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151424",
"telephone_number": "608-280-2600"
}
],
"practiceLocations": [
{
"address_1": "1320 Mendota St Ste 120",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537141060",
"country_code": "US",
"telephone_number": "608-280-2700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Fordem Ave",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537044600",
"country_code": "US",
"telephone_number": "608-931-2700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "208 E Olin Ave",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537131413",
"country_code": "US",
"telephone_number": "608-280-2700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1440 E Wisconsin St",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "WI",
"postal_code": "539012552",
"country_code": "US",
"telephone_number": "608-280-2700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "802 E Gorham St",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537031524",
"country_code": "US",
"telephone_number": "608-260-2700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Kessel Ct",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537116227",
"country_code": "US",
"telephone_number": "608-280-2700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "49 Kessel Ct",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537116200",
"country_code": "US",
"telephone_number": "608-280-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REUTEBUCH",
"first_name": "JEREMY",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-16",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.