Individual provider Active NPI

Thomas Schrader

  • Nurse Practitioner
  • Louisa, KY
National Provider Identifier
1699516526
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4022806 Issued in KY
Practice address
306 Commerce Dr
Ste 700
Louisa, KY 41230-5065
Phone
(606) 638-7400
NPI assigned
Jun 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4022806 KY Primary

Addresses

Primary practice location

306 Commerce Dr
Ste 700
Louisa, KY 41230-5065

Mailing address

12141 State Route 5 # 2
Ashland, KY 41102-8033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241009002676 KY Practitioner - Nurse Practitioner 2961933320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Rivers Medical Clinics IncGroup PAC ID 7315845047, 30 clinicians

Practice addresses (Care Compare)

306 Commerce Dr
Suite 700
Louisa, KY 41230-5065
Phone (606) 638-7400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Medical Clinics Inc Nurse Practitioner CurrentSince Jun 25, 2024 Accepting new patients
Three Rivers Medical Clinics Inc CurrentSince Jun 25, 2024 Accepting new patients

Locations

2483 Highway 644
Ste 107
Louisa, KY 41230
Phone (606) 638-1154

306 Commerce Dr
Ste 700
Louisa, KY 41230
Phone (606) 638-7400

Interoperability endpoints

  • Direct secure messaging: thomas.schrader.1@1954.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1699516526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12141 STATE ROUTE 5 # 2",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411028033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 COMMERCE DR",
            "address_2": "STE 700",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412305065",
            "telephone_number": "606-638-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRADER",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4022806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

Verify at the official NPI Registry.