Individual provider Active NPI

Keren Michele Schroeder, NBC-HWC

  • Health & Wellness Coach
  • Saint George, UT
National Provider Identifier
1265103360
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
3419 E Rimrunner Dr
Saint George, UT 84790-1324
Phone
(720) 851-4231
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Primary

Addresses

Primary practice location

3419 E Rimrunner Dr
Saint George, UT 84790-1324

Mailing address

3419 E Rimrunner Dr
Saint George, UT 84790-1324
Phone (720) 851-4231

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://app.revivingmind.com/in/therapist/chat/CHc0b54ca18fd24c6bb49bb6721fabfe23 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

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1265103360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 E RIMRUNNER DR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847901324",
            "telephone_number": "720-851-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 E RIMRUNNER DR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847901324",
            "telephone_number": "720-851-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "KEREN",
        "middle_name": "MICHELE",
        "credential": "NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app.revivingmind.com/in/therapist/chat/CHc0b54ca18fd24c6bb49bb6721fabfe23",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "3419 E Rimrunner Dr",
            "city": "Saint George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847901324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.