NPIMap

Organization Active NPI

University of Wisconsin Stout

Doing business as UW Stout Student Health Center

  • Family Medicine Physician
  • Menomonie, WI
National Provider Identifier
1871896308
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIVERSITY OF WISCONSIN STOUT
Doing business as
UW Stout Student Health Center
Practice address
103 1St Ave W
Menomonie, WI 54751-1876
Phone
(715) 232-1314
Fax
(715) 232-2103
NPI assigned
Dec 6, 2010
Last updated
Dec 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Janice Ramaeker
Title
Director, SHS
Phone
(715) 232-2114

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X
Women's Health Nurse Practitioner 363LW0102X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

103 1St Ave W
Menomonie, WI 54751-1876

Mailing address

PO Box 671205
Dallas, TX 75267-1205
Phone (866) 890-6390

Other names 1

  • UW Stout Student Health Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2249644Student Health Centre - Uw Stout Student Clinic103 1St Ave W, Menomonie, WI 54751ComplianceNov 16, 2026

National Provider Directory

National Provider Directory
Tax ID family
Center for Communicativ25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1871896308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752671205",
            "telephone_number": "866-890-6390",
            "fax_number": "469-735-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 1ST AVE W",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511876",
            "telephone_number": "715-232-1314",
            "fax_number": "715-232-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN STOUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "RAMAEKER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "DIRECTOR, SHS",
        "authorized_official_telephone_number": "715-232-2114"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UW Stout Student Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.