Individual provider Active NPI

Danielle Marie Schwaderer Kettler, N.D.

  • Naturopath
  • Sonoma, CA
National Provider Identifier
1083914683
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-430 Issued in CA
Practice address
651 1St St W Ste B
Sonoma, CA 95476-7046
Phone
(707) 996-4656
NPI assigned
Oct 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X AHC-NAT-LIC-2798 MT
Naturopath 175F00000X ND-430 CA Primary

Addresses

Primary practice location

651 1St St W Ste B
Sonoma, CA 95476-7046

Mailing address

651 1St St W Ste B
Sonoma, CA 95476-7046
Phone (707) 996-4656

Other practice location 1

501 1st Ave
St Ignatius, MT 59865-7752
Phone (707) 477-8312

Other names 1

  • Danielle Marie Schwaderer Former name

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
ND-430CAMDNaturopath
AHC-NAT-LIC-2798MTMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1083914683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 1ST ST W STE B",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767046",
            "telephone_number": "707-996-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 1ST ST W STE B",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767046",
            "telephone_number": "707-996-4656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 1st Ave",
            "address_purpose": "LOCATION",
            "city": "St Ignatius",
            "state": "MT",
            "postal_code": "598657752",
            "country_code": "US",
            "telephone_number": "707-477-8312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWADERER KETTLER",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "MT",
            "license": "AHC-NAT-LIC-2798",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "SCHWADERER",
            "middle_name": "MARIE",
            "credential": "N.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sonoma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.