Active NPI
Jacqueline Patrice Schroeder
- Registered Nurse
- Fort Totten, ND
National Provider Identifier
1629508452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN27525
- Practice address
- 3883 74TH Ave NE
Fort Totten, ND 58335-5833 - Phone
- (701) 766-1600
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN27525 | ND | Primary |
Addresses
Primary practice location
3883 74TH Ave NE
Fort Totten, ND 58335-5833
Mailing address
3883 74TH Ave NE
Fort Totten, ND 58335
Phone (701) 766-1653
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN27525 | ND | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497398400000",
"number": "1629508452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3883 74TH AVE NE",
"city": "FORT TOTTEN",
"state": "ND",
"postal_code": "58335",
"telephone_number": "701-766-1653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3883 74TH AVE NE",
"city": "FORT TOTTEN",
"state": "ND",
"postal_code": "583355833",
"telephone_number": "701-766-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "JACQUELINE",
"middle_name": "PATRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2017-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ND",
"license": "RN27525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Totten, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.