Individual provider Active NPI

Keri Schaeffer, LE

  • Specialist
  • Livermore, CA
National Provider Identifier
1043809197
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L9636 Issued in CA
Practice address
1858 Fourth St
Livermore, CA 94550-4454
Phone
(925) 490-0550
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L9636 CA Primary

Addresses

Primary practice location

1858 Fourth St
Livermore, CA 94550-4454

Mailing address

895 Camelia Dr
Livermore, CA 94550-5301
Phone (925) 913-0162

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@azureelectrology.com Direct
Direct Messaging Address info@azureelectrology.com Direct

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
L9636CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1043809197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 CAMELIA DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945505301",
            "telephone_number": "925-913-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 FOURTH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504454",
            "telephone_number": "925-490-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFFER",
        "first_name": "KERI",
        "credential": "LE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@azureelectrology.com",
            "affiliation": "N",
            "endpointDescription": "professional email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "895 Camelia Dr",
            "city": "Livermore",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945505301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@azureelectrology.com",
            "affiliation": "N",
            "endpointDescription": "professional email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "895 Camelia Dr",
            "city": "Livermore",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945505301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.