Individual provider Active NPI

Laura Jo Schroeder

  • Family Nurse Practitioner
  • Defiance, OH
National Provider Identifier
1588043210
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.17328-NP Issued in OH
Practice address
1400 E 2ND St
Defiance, OH 43512-2440
Phone
(419) 784-1414
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.17328-NP OH Primary

Addresses

Primary practice location

1400 E 2ND St
Defiance, OH 43512-2440

Mailing address

1400 E 2ND St
Defiance, OH 43512-2440
Phone (419) 784-1414

Other names 1

  • Laura Jo Recker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150817002385 OH Practitioner - Nurse Practitioner 0749595916 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians-North LLC CurrentSince Sep 1, 2020 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Jul 13, 2015 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Sep 1, 2020 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Jul 13, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

1426 Scott St
Napoleon, OH 43545
Phone (419) 599-5600

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

1050 Isaac Streets Dr
Ste 106
Oregon, OH 43616
Phone (419) 691-4734

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Interoperability endpoints

  • Direct secure messaging: laura.schroeder.1@14940.direct.athenahealth.com

Organizations & group practices 9

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": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1588043210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122440",
            "telephone_number": "419-784-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122440",
            "telephone_number": "419-784-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "LAURA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17328-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "RECKER",
            "middle_name": "JO",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Defiance, OH

Sources for this page

Verify at the official NPI Registry.