Active NPI
Theresa Riebe
- Driver
- Minocqua, WI
National Provider Identifier
1396567012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- R900000450876
- Practice address
- 9800 Hwy 70 Ste 3
Minocqua, WI 54548-8736 - Phone
- (715) 358-0311
- NPI assigned
- Oct 25, 2024
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | R900000450876 | MI | Primary |
Addresses
Primary practice location
9800 Hwy 70 Ste 3
Minocqua, WI 54548-8736
Mailing address
PO Box 2273
Woodruff, WI 54568-2273
Phone (715) 358-0311
Other names 1
- Theresa Gauthier
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 |
|---|---|---|---|
| R900000450876 | MI | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1396567012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2273",
"city": "WOODRUFF",
"state": "WI",
"postal_code": "545682273",
"telephone_number": "715-358-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 HWY 70 STE 3",
"city": "MINOCQUA",
"state": "WI",
"postal_code": "545488736",
"telephone_number": "715-358-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEBE",
"first_name": "THERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-25",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "MI",
"license": "R900000450876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "GAUTHIER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Minocqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.