Individual provider Active NPI

Heather Lynnelle Schroeder, RN

  • Registered Nurse
  • Fergus Falls, MN
National Provider Identifier
1811219462
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R193375-2 Issued in MN
Practice address
106 4TH Avenue North
Fergus Falls, MN 56537-1034
Phone
(218) 998-3778
Fax
(218) 998-3187
NPI assigned
Feb 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R193375-2 MN Primary

Addresses

Primary practice location

106 4TH Avenue North
Fergus Falls, MN 56537-1034

Mailing address

8799 125TH Street
Milaca, MN 56353
Phone (320) 983-3828

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R193375-2MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CK Home Health Care Inc. Past Accepting new patients
CK Home Health Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1811219462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8799 125TH STREET",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "56353",
            "telephone_number": "320-983-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 4TH AVENUE NORTH",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371034",
            "telephone_number": "218-998-3778",
            "fax_number": "218-998-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "HEATHER",
        "middle_name": "LYNNELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R193375-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.