Kristen Noel Ice Schroeder, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

65.000183 Issued in OH

Practice address

12563 Pearl Rd
Strongsville, OH 44136-3427

Phone

(440) 878-9800

Fax

(440) 878-9804

NPI assigned

Nov 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kristen Noel Ice Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1215239678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12563 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363427",
            "telephone_number": "440-878-9800",
            "fax_number": "440-878-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12563 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363427",
            "telephone_number": "440-878-9800",
            "fax_number": "440-878-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICE SCHROEDER",
        "first_name": "KRISTEN",
        "middle_name": "NOEL",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "65.000183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ICE",
            "middle_name": "NOEL",
            "prefix": "MS.",
            "credential": "L.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Acupuncturist in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Acupuncturist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.