Individual provider Active NPI

Tabitha Jean Reuter, SLP

  • Speech-Language Pathologist
  • Sioux City, IA
National Provider Identifier
1285943738
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
001887 Issued in IA
Practice address
1301 W 1St St
Sioux City, IA 51103-3508
Phone
(712) 560-4838
Fax
(712) 560-3902
NPI assigned
Oct 1, 2010
Last updated
Nov 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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 001887 IA Primary

Addresses

Primary practice location

1301 W 1St St
Sioux City, IA 51103-3508

Mailing address

1301 W 1St St
Sioux City, IA 51103-3508
Phone (712) 560-4838

Other identifiers 4

IdentifierTypeStateIssuer
1503487MedicaidIA
100264593-00MedicaidNE
100264595-00MedicaidNE
100264591-00MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221115001778 NE Practitioner - Qualified Speech Language Pathologist 9335364520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maxability Therapy Services, P.C.Group PAC ID 6800060856, 9 clinicians

Practice addresses (Care Compare)

1001 Fort Crook Rd N
Suite 202
Bellevue, NE 68005-4226
Phone (402) 391-5002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001887IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Maxability Therapy Services, P.C. Speech-Language Pathologist CurrentSince Aug 4, 2022 Accepting new patients
Children's Care Hospital and School Past Accepting new patients

Locations

1001 Fort Crook Rd N
Ste 202
Bellevue, NE 68005
Phone (402) 391-5002

10909 Mill Valley Rd
Ste 210
Omaha, NE 68154
Phone (402) 391-5002

8031 W Center Rd
Ste 300
Omaha, NE 68124
Phone (402) 391-5002

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1285943738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 1ST ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511033508",
            "telephone_number": "712-560-4838",
            "fax_number": "712-560-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 1ST ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511033508",
            "telephone_number": "712-560-4838",
            "fax_number": "712-560-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUTER",
        "first_name": "TABITHA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "001887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1503487",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264593-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264595-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264591-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.