Bluff and Ridge Equine Assisted Therapies, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

BLUFF AND RIDGE EQUINE ASSISTED THERAPIES, INC.

Practice address

28464 Monarch Ave
Kendall, WI 54638-7076

Phone

(608) 343-7740

NPI assigned

May 7, 2024

Last updated

May 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Deist

Title

Executive Director

Phone

(608) 343-7740

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1962250951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30662 MOCCASIN AVE",
            "city": "KENDALL",
            "state": "WI",
            "postal_code": "546387052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28464 MONARCH AVE",
            "city": "KENDALL",
            "state": "WI",
            "postal_code": "546387076",
            "telephone_number": "608-343-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFF AND RIDGE EQUINE ASSISTED THERAPIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "DEIST",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "608-343-7740"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "breathtomahinc@outlook.com",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct",
            "address_1": "28464 Monarch Ave",
            "city": "Kendall",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546387076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy Martin Drea, RN
• Alysa Colleen Eckelberg
• Kendall Area Ambulance Service
• Beth Kratky, CPM
• Rascals Resort LLC

• Voluntary or Charitable Agency in Kendall, WI
• Providers in Kendall, WI by specialty
• Voluntary or Charitable Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.