Rebecca Sue Schroeder, RD, CSSD

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

License

171420 Issued in KY

Practice address

4109 Brownsboro Glen Rd
Louisville, KY 40241-1196

Phone

(616) 745-5088

NPI assigned

Jan 6, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Be Well Providers, LLC

  • Adult Mental Health Clinic/Center
  • Louisville, KY
  • NPI 1568971950
  NPD (past)

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1467261370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 BROWNSBORO GLEN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411196",
            "telephone_number": "616-745-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 BROWNSBORO GLEN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411196",
            "telephone_number": "616-745-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "credential": "RD, CSSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "KY",
            "license": "171420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Schroeder, M.D.
• Karen Schroeder, NP
• Kelly Anne Schroeder, AUD
• Luke Allen Schroeder
• Margaret Schroeder
• Susan Schroeder
• Zephan Schroeder
• Derek Adam Schroering, D.C.
• Robert L Schroering, DMD
• David Jason Schroerlucke, PSY.D.

• Sports Dietetics Nutrition Registered Dietitian in Louisville, KY
• Providers in Louisville, KY by specialty
• Sports Dietetics Nutrition Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.