Active NPI
Renae Ellen Biebl, OT
- Occupational Therapist
- Bloomington, MN
National Provider Identifier
1730131384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 102651
- Practice address
- 8100 Northland Dr
Bloomington, MN 55431-4800 - Phone
- (952) 831-8742
- Fax
- (952) 831-1626
- NPI assigned
- May 16, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 102651 | MN | Primary |
Addresses
Primary practice location
8100 Northland Dr
Bloomington, MN 55431-4800
Mailing address
8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6405992 | Other | MN | MEDICA |
| 320P4RE | Other | MN | BLUECROSS BLUESHIELD |
| 370487400 | Medicaid | MN | |
| HP51448 | Other | MN | HEALTHPARTNERS |
| 40899700 | Medicaid | WI |
Other names 1
- Renae Ellen Siewert
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102651 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1730131384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 NORTHLAND DR",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554314800",
"telephone_number": "952-831-8742",
"fax_number": "952-831-1626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 NORTHLAND DR",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554314800",
"telephone_number": "952-831-8742",
"fax_number": "952-831-1626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIEBL",
"first_name": "RENAE",
"middle_name": "ELLEN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "102651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6405992",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "320P4RE",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370487400",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP51448",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40899700",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RENAE",
"last_name": "SIEWERT",
"middle_name": "ELLEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.