Active NPI
Robin J Raether
- Registered Nurse
- Chippewa Falls, WI
National Provider Identifier
1316996515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 134452-030
- Practice address
- 13687 95TH Ave
Chippewa Falls, WI 54729-5107 - Phone
- (715) 720-0657
- NPI assigned
- May 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 134452-030 | WI | Primary |
Addresses
Primary practice location
13687 95TH Ave
Chippewa Falls, WI 54729-5107
Mailing address
13687 95TH Ave
Chippewa Falls, WI 54729-5107
Phone (715) 720-0657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38312300 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134452-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1316996515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13687 95TH AVE",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547295107",
"telephone_number": "715-720-0657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13687 95TH AVE",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547295107",
"telephone_number": "715-720-0657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAETHER",
"first_name": "ROBIN",
"middle_name": "J",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "134452-030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38312300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.