Active NPI
Carol Y Schroeder, A.U.D., CCC-A
- Audiologist
- Lexington, KY
National Provider Identifier
1750470464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0309
- Practice address
- 1205 Sebring LN
Lexington, KY 40513-1818 - Phone
- (859) 219-1141
- Fax
- (859) 219-1141
- NPI assigned
- Oct 12, 2006
- Last updated
- Sep 15, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0309 | KY | Primary |
| Audiologist | 231H00000X | 0754 | KY |
Addresses
Primary practice location
1205 Sebring LN
Lexington, KY 40513-1818
Mailing address
1205 Sebring LN
Lexington, KY 40513-1818
Phone (859) 219-1141
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 |
|---|---|---|---|
| 0754 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| 0309 | KY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1750470464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 SEBRING LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131818",
"telephone_number": "859-219-1141",
"fax_number": "859-219-1141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 SEBRING LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131818",
"telephone_number": "859-219-1141",
"fax_number": "859-219-1141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "CAROL",
"middle_name": "Y",
"name_prefix": "Mrs.",
"credential": "A.U.D., CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "0309",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "0754",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.