Active NPI
Wendie Schoeb, MS, ATC, LAT
- Student Health Clinic/Center
- Beaver Dam, WI
National Provider Identifier
1407201502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student Health Clinic/Center
- License
- 1343
- Practice address
- 707 S University Ave
Beaver Dam, WI 53916-3027 - Phone
- (507) 412-9401
- NPI assigned
- Apr 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 513235 | MN | |
| Student Health Clinic/Center | 261QS1000X | 1343 | MN | Primary |
Addresses
Primary practice location
707 S University Ave
Beaver Dam, WI 53916-3027
Mailing address
707 S University Ave
Beaver Dam, WI 53916-3027
Phone (507) 412-9401
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wschoeb@bdch.org |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 513235 | MN | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1407201502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 S UNIVERSITY AVE",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539163027",
"telephone_number": "507-412-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 S UNIVERSITY AVE",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539163027",
"telephone_number": "507-412-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOEB",
"first_name": "WENDIE",
"credential": "MS, ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-27",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "MN",
"license": "513235",
"primary": false
},
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": "MN",
"license": "1343",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wschoeb@bdch.org",
"affiliation": "N",
"address_1": "707 S University Ave",
"city": "Beaver Dam",
"state": "WI",
"country_code": "US",
"postal_code": "539163027",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beaver Dam, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.