Individual provider Active NPI

Rosemary Schad, LPN

  • Licensed Practical Nurse
  • Phoenix, AZ
National Provider Identifier
1760937460
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP050166 Issued in AZ
Practice address
4407 N 55TH Ave
Phoenix, AZ 85031-1802
Phone
(623) 691-4315
Fax
(623) 691-4320
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP050166 AZ Primary

Addresses

Primary practice location

4407 N 55TH Ave
Phoenix, AZ 85031-1802

Mailing address

4407 N 55TH Ave
Phoenix, AZ 85031-1802
Phone (623) 691-4315

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

LicenseStateTypeSpecialty
LP050166AZMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1760937460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 N 55TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311802",
            "telephone_number": "623-691-4315",
            "fax_number": "623-691-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 N 55TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311802",
            "telephone_number": "623-691-4315",
            "fax_number": "623-691-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAD",
        "first_name": "ROSEMARY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP050166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.