Active NPI
Allen Schroeder, ATC
- Other Specialist/Technologist
- Highlands Ranch, CO
National Provider Identifier
1750495586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- 756
- Practice address
- 3775 Grace Blvd
Highlands Ranch, CO 80126-8123 - Phone
- (303) 471-3023
- NPI assigned
- Aug 18, 2006
- Last updated
- Jan 15, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT-271 | ID | |
| Other Specialist/Technologist | 246Z00000X | 756 | CO | Primary |
Addresses
Primary practice location
3775 Grace Blvd
Highlands Ranch, CO 80126-8123
Mailing address
3775 Grace Blvd
Highlands Ranch, CO 80126-8123
Phone (303) 471-3023
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 |
|---|---|---|---|
| 756 | CO | MD | Psychologist |
| AT-271 | ID | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452816000000",
"number": "1750495586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3775 GRACE BLVD",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801268123",
"telephone_number": "303-471-3023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3775 GRACE BLVD",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801268123",
"telephone_number": "303-471-3023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2016-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ID",
"license": "AT-271",
"primary": false
},
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "CO",
"license": "756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.