Active NPI
Ashley Schaefer
- Contractor
- Princeton, MN
National Provider Identifier
1730710401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 36073 Dolphin St NW
Princeton, MN 55371-5274 - Phone
- (612) 636-7881
- NPI assigned
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | MN | Primary |
Addresses
Primary practice location
36073 Dolphin St NW
Princeton, MN 55371-5274
Mailing address
36073 Dolphin St NW
Princeton, MN 55371-5274
Phone (612) 636-7881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1091136600024 | Other | MN | DEMOLITION RESTORATION |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1730710401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36073 DOLPHIN ST NW",
"city": "PRINCETON",
"state": "MN",
"postal_code": "553715274",
"telephone_number": "612-636-7881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36073 DOLPHIN ST NW",
"city": "PRINCETON",
"state": "MN",
"postal_code": "553715274",
"telephone_number": "612-636-7881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEMOLITION RESTORATION",
"identifier": "1091136600024",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Princeton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.