Reilly Jade Ruechel, MS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1919 W North Ave
Milwaukee, WI 53205-1155

Phone

(414) 257-7934

NPI assigned

Oct 18, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1134901713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 W NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051155",
            "telephone_number": "414-257-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051155",
            "telephone_number": "414-257-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUECHEL",
        "first_name": "REILLY",
        "middle_name": "JADE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goran Todor Rudic, M.D.
• Jennifer Rudnik
• Rudolfo S. Lastrilla, M.D., S.C.
• Abigail Rudolph
• Elizabeth Rudolph
• Alexandra Rueckert, PT
• Heidi Lynn Ruedinger, MS/CCC-SLP
• Ann L. Ruelle, R.D.
• Rebecca Ruesch
• Colleen Ruetz, APNP

• Student in an Organized Health Care Education/Training Program in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Student in an Organized Health Care Education/Training Program in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.