Kelly Rae Schooler, RDN, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1054573 Issued in MI

Practice address

18544 W 8 Mile Rd
Southfield, MI 48075-4194

Phone

(248) 569-1729

NPI assigned

Sep 20, 2019

Last updated

Sep 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Rae Moran Former 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": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1427609452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23530 NORWOOD ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372283",
            "telephone_number": "734-748-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18544 W 8 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754194",
            "telephone_number": "248-569-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOOLER",
        "first_name": "KELLY",
        "middle_name": "RAE",
        "credential": "RDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "1054573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MORAN",
            "middle_name": "RAE",
            "credential": "RDN, CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Schoelch, D.D.S.
• Jennifer Schoenhals
• Azelie Schoenherr
• Loren Scholtz, LMSW
• Michelle Schoolcraft
• Paul M Schornack, RPH
• Megan Ann Schrader, D.O.
• Rainey Schreiber
• Katherine Schreiman
• Reiann Schrieber

• Registered Dietitian in Southfield, MI
• Providers in Southfield, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.