Individual provider Active NPI

Taylor Schroeder, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Chester, OH
National Provider Identifier
1477169258
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0027554 Issued in OH
Practice address
9117 Cincinnati Columbus Rd
West Chester, OH 45069-3701
Phone
(513) 229-7585
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0027554 OH Primary

Addresses

Primary practice location

9117 Cincinnati Columbus Rd
West Chester, OH 45069-3701

Mailing address

5167 Clareridge CT
Cincinnati, OH 45238-5988
Phone (513) 305-9093

Other practice location 1

4510 Dressler Rd NW
Canton, OH 44718-2546
Phone (216) 450-1613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101000111 CO Practitioner - Nurse Practitioner 4789090408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027554OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Earthside Health and Wellness LLC Psychiatric/Mental Health CurrentSince Jan 1, 2023 Accepting new patients
Valley-Wide Health Systems, Inc CurrentSince Oct 21, 2024 Accepting new patients
Valley-Wide Health Systems, Inc. CurrentSince Oct 21, 2024 Accepting new patients
Axis Mental Health and Wellness Psychiatric/Mental Health Past Accepting new patients

Locations

1131 Main St
Alamosa, CO 81101
Phone (719) 589-2562

128 Market St
Alamosa, CO 81101
Phone (719) 587-1001

711 Barnes Ave
La Junta, CO 81050
Phone 7193845446 ext. 338

721 Barnes Ave
La Junta, CO 81050
Phone (719) 383-5401

1012 Belmont Ave
La Junta, CO 81050
Phone (719) 383-5500

100 Kendall Dr
Lamar, CO 81052
Phone (719) 336-7501

5340 Rapid Run Rd
Ste 8
Cincinnati, OH 45238
Phone (513) 506-0345

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1477169258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5167 CLARERIDGE CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452385988",
            "telephone_number": "513-305-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9117 CINCINNATI COLUMBUS RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693701",
            "telephone_number": "513-229-7585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4510 Dressler Rd NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447182546",
            "country_code": "US",
            "telephone_number": "216-450-1613",
            "fax_number": "216-450-1614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2021-03-03",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0027554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.