Organization Active NPI

Reboot Center for Innovative Medicine

  • Multi-Specialty Clinic/Center
  • Freeland, WA
National Provider Identifier
1366711624
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
NT00001312 Issued in WA
Legal business name
REBOOT CENTER FOR INNOVATIVE MEDICINE
Practice address
5548 Myrtle Ave
Suite 202
Freeland, WA 98249-8776
Phone
(360) 331-2464
Fax
(866) 277-7173
NPI assigned
Dec 15, 2011
Last updated
Feb 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jennifer V Schiavone-Ruthensteiner, N.D.
Title
Owner/Manager
Phone
(360) 331-2464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NT00001312 WA Primary

Addresses

Primary practice location

5548 Myrtle Ave
Suite 202
Freeland, WA 98249-8776

Mailing address

PO Box 554
Freeland, WA 98249-0554
Phone (360) 331-2464

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1366711624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 554",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982490554",
            "telephone_number": "360-331-2464",
            "fax_number": "866-277-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5548 MYRTLE AVE",
            "address_2": "SUITE 202",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982498776",
            "telephone_number": "360-331-2464",
            "fax_number": "866-277-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOOT CENTER FOR INNOVATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "SCHIAVONE-RUTHENSTEINER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "360-331-2464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": "NT00001312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.