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RAEGAN RENE TERVORT
NPI 1548703473
Student in an Organized Health Care Education/Training Program in La Crosse, WI

Active since November 26, 2016
1725 STATE ST, LA CROSSE, WI 54601(608) 785-8000 Get Directions Write a Review

NPPES record last updated: November 26, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raegan Rene Tervort NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAEGAN RENE TERVORT (NPI 1548703473) is an individual student in an organized health care education/training program in La Crosse, Wisconsin and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1548703473
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRAEGAN RENE TERVORT
Location Address1725 STATE STLa Crosse, WI 54601-3742
Mailing Address148 Onyx CtOregon, WI 53575-3805 · (608) 443-6179
Phone(608) 785-8000
Sole ProprietorNo
Enumeration DateNovember 26, 2016
✔ NPI 1548703473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1725 STATE ST, La Crosse, WI 54601
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK D. JAKUBEK
Specialist
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (920) 642-0201
JESSICA FORTIER
Student in an Organized Health Care Education/Training Program
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8000
QUINN THOMAS STEINBRECHER PA-C
Physician Assistant
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8000
MCKENZI SCHORNACK MS, LAT, ATC, CES
Specialist/Technologist (Athletic Trainer)
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-6525
DREN GASHI
Student in an Organized Health Care Education/Training Program
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8816
ALLISON FREIER
Specialist/Technologist (Athletic Trainer)
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8173
UNIVERSITY OF WISCONSIN - LA CROSSE
Clinic/Center (Mental Health (Including Community Mental Health Center))
1725 STATE ST, 2106 CENTENNIAL HALL
LA CROSSE, WI 54601
La Crosse County (608) 785-8073
LEAH RENE CARPENTER RN
Registered Nurse
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raegan Tervort's NPI number?

The NPI number for Raegan Tervort is 1548703473. It was assigned to this individual provider in the NPPES registry on November 26, 2016.

Where is Raegan Tervort located?

Raegan Tervort practices at 1725 State St, La Crosse, WI 54601. The listed phone number is (608) 785-8000.

What is Raegan Tervort's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Raegan Tervort was last updated on November 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.