Jennifer Kathryn Schreck, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

049685 Issued in CT

Practice address

132 Monroe Tpke
Trumbull, CT 06611-6351

Phone

(203) 268-1766

Fax

(203) 268-0787

NPI assigned

May 19, 2008

Last updated

May 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bluestone Pediatrics, PLC

  dba Bluestone Pediatrics

  • Pediatrics Physician
  • Harrisonburg, VA
  • NPI 1356450951
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1790942696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MONROE TPKE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116351",
            "telephone_number": "203-268-1766",
            "fax_number": "203-268-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MONROE TPKE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116351",
            "telephone_number": "203-268-1766",
            "fax_number": "203-268-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRECK",
        "first_name": "JENNIFER",
        "middle_name": "KATHRYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CT",
            "license": "049685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysta Schaefer, BCBA, MS, LBA
• Varda Schary, MSC
• Caryl Schiff-Greatorex, LPC
• Kelly Ann Schrader-Rees, OTR/L
• Erika Schramm
• Edward Mark Schwartz
• Stefanie Seanor, OTR/L
• Daniel Searless
• Laurence Charles Segall, MS LCSW
• Sekerak M.D. & Tristine M.D., PC

• Pediatric Adolescent Medicine Physician in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Pediatric Adolescent Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.