Individual provider Active NPI

Rylie Anne Rubeck

  • Speech-Language Pathologist
  • Osseo, WI
National Provider Identifier
1740850247
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1001426885 Issued in WI
Practice address
50851 East St
Osseo, WI 54758-7108
Phone
(715) 563-8673
NPI assigned
Jun 28, 2021
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1001426885 WI Primary
Speech-Language Pathologist 235Z00000X SZ10127 FL

Addresses

Primary practice location

50851 East St
Osseo, WI 54758-7108

Mailing address

3218 Pomona Dr
Eau Claire, WI 54701-6851
Phone (715) 563-8673

Other names 1

  • Rylie Cornelissen Other name

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

LicenseStateTypeSpecialty
SZ10127FLMDSpeech-Language Pathologist
1001426885WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1740850247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 POMONA DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016851",
            "telephone_number": "715-563-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50851 EAST ST",
            "city": "OSSEO",
            "state": "WI",
            "postal_code": "547587108",
            "telephone_number": "715-563-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBECK",
        "first_name": "RYLIE",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1001426885",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYLIE",
            "last_name": "CORNELISSEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Osseo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.