Individual provider Active NPI

Theresa M Reedy Strous, APNP

  • Family Nurse Practitioner
  • Neenah, WI
National Provider Identifier
1568520146
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1720033 Issued in WI
Practice address
130 2ND St
Suite N410
Neenah, WI 54956-2883
Phone
(920) 729-0608
Fax
(920) 720-2902
NPI assigned
Dec 5, 2006
Last updated
Feb 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1720033 WI Primary

Addresses

Primary practice location

130 2ND St
Suite N410
Neenah, WI 54956-2883

Mailing address

820 E Grant St
Suite S250
Appleton, WI 54911
Phone (920) 734-9600

Other identifiers 1

IdentifierTypeStateIssuer
43919600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324000476 WI Practitioner - Nurse Practitioner 8628969946 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1720033WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Pulmonary Medicine, S.C. CurrentSince Mar 24, 2014 Accepting new patients
Fox Valley Pulmonary Medicine, LLC Past Accepting new patients
Fox Valley Surgical Associates LTD PastSince Jan 1, 2021 Accepting new patients

Locations

2500 E Capitol Dr
Ste 1700
Appleton, WI 54911
Phone (920) 734-9600

2500 E Capitol Dr
Ste 2600
Appleton, WI 54911
Phone (920) 358-1139

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

130 2nd St
Ste N410
Neenah, WI 54956
Phone (920) 729-0608

200 Theda Clark Medical Plz
Ste 480
Neenah, WI 54956
Phone (920) 729-0608

2500 Garfield St
Two Rivers, WI 54241
Phone (920) 734-9600

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1568520146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E GRANT ST",
            "address_2": "SUITE S250",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54911",
            "telephone_number": "920-734-9600",
            "fax_number": "920-734-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 2ND ST",
            "address_2": "SUITE N410",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562883",
            "telephone_number": "920-729-0608",
            "fax_number": "920-720-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDY STROUS",
        "first_name": "THERESA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1720033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43919600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.