Active NPI
Jane Schaefer, N.P.
- Adult Health Nurse Practitioner
- Independence, OH
National Provider Identifier
1124038385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- COA 01288
- Practice address
- 6100 Rockside Woods Blvd N
Suite 425
Independence, OH 44131-2366 - Phone
- (216) 643-2780
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 019744021 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | COA 01288 | OH | Primary |
Addresses
Primary practice location
6100 Rockside Woods Blvd N
Suite 425
Independence, OH 44131-2366
Mailing address
308 N Pleasant St
Oberlin, OH 44074-1114
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019744021 | OH | MD | Licensed Practical Nurse |
| COA 01288 | OH | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1124038385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 N PLEASANT ST",
"city": "OBERLIN",
"state": "OH",
"postal_code": "440741114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 ROCKSIDE WOODS BLVD N",
"address_2": "SUITE 425",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312366",
"telephone_number": "216-643-2780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "JANE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "019744021",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "COA 01288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.