Regenative IV's LLC

Primary specialty

Holistic Clinical Nurse SpecialistTaxonomy code 364SH1100X

Legal business name

REGENATIVE IV'S LLC

Doing business as

Schroeder Family Wellness Clinic

Practice address

421 E 30TH Ave
Hutchinson, KS 67502-2412

Phone

(620) 663-2678

Fax

(866) 557-4375

NPI assigned

Dec 30, 2022

Last updated

Jan 1, 2023By 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

Nicole Schroeder, RN

Title

Office Manager/RN

Phone

(620) 755-5080

Specialties & licenses 1

Addresses

Other names 1

• Schroeder Family Wellness Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jasmine Ann Douangpraseuth, APRN

  • Family Nurse Practitioner
  • Hutchinson, KS
  • NPI 1417566233
  Medicare reassignment NPD
• Kaitlyn S Elder, APRN

  • Family Nurse Practitioner
  • Derby, KS
  • NPI 1376270918
  Medicare reassignment NPD
• Valentina Hain, APRN

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1528602414
  Medicare reassignment NPD
• Denette A Lamb, APRN

  • Adult Health Nurse Practitioner
  • Hutchinson, KS
  • NPI 1336404524
  Medicare reassignment NPD
• Jessica Miller, APRN

  • Family Nurse Practitioner
  • Blue Springs, MO
  • NPI 1508464306

  KS

  Medicare reassignment NPD
• Christopher David Schroeder, DC

  • Chiropractor
  • Hutchinson, KS
  • NPI 1003866831
  NPD

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672531200000",
    "number": "1013620590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E 30TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022412",
            "telephone_number": "620-663-2678",
            "fax_number": "866-557-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E 30TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022412",
            "telephone_number": "620-663-2678",
            "fax_number": "866-557-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENATIVE IV'S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2023-01-01",
        "certification_date": "2023-01-01",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER/RN",
        "authorized_official_telephone_number": "620-755-5080",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "364SH1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Holistic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schroeder Family Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca a Kramer Inc
• Rebecca a Kramer Inc
• Thoutireddy Krishna Reddy, MD
• Corey B. Reed, LMFT
• Robert Mark Reed, D.O.
• Janelle A Regier, MD
• Larisa Dawn Reida, CPNP
• Halle Reimer, PA
• Evan J Reinert, DPT
• Kimberly N Reiser, LMSW

• Clinical Nurse Specialist in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Clinical Nurse Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.