Active NPI
Julie Marie Schroeder, MD
- Family Medicine Physician
- Bettendorf, IA
National Provider Identifier
1811969181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33124
- Practice address
- 2740 Happy Joe Dr Ste 1
Bettendorf, IA 52722-3220 - Phone
- (563) 526-4536
- Fax
- (508) 928-4165
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036103037 | IL | |
| Family Medicine Physician | 207Q00000X | 33124 | IA | Primary |
Addresses
Primary practice location
2740 Happy Joe Dr Ste 1
Bettendorf, IA 52722-3220
Mailing address
2740 Happy Joe Dr Ste 1
Bettendorf, IA 52722-3220
Phone (563) 526-4536
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33124 | Other | IA | LIC |
| 8122900 | Other | IL | BCBS GROUP NUMBER |
| 036-092392 | Medicaid | IL | |
| 076646 | Other | HEALTH ALLIANCE | |
| 036103037 | Other | IL | LIC |
| 080191446 | Other | MEDICARE RAILROAD | |
| 1186965 | Medicaid | IA | |
| 17594 | Other | IA | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office@lifeandfamilymedical.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 5, 2020 through Nov 5, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036103037 | IL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1811969181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 HAPPY JOE DR STE 1",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223220",
"telephone_number": "563-526-4536",
"fax_number": "508-928-4165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 HAPPY JOE DR STE 1",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223220",
"telephone_number": "563-526-4536",
"fax_number": "508-928-4165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "JULIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036103037",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "33124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC",
"identifier": "33124",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "8122900",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-092392",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "076646",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC",
"identifier": "036103037",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "080191446",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1186965",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "17594",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "office@lifeandfamilymedical.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2740 Happy Joe Dr Ste 1",
"city": "Bettendorf",
"state": "IA",
"country_code": "US",
"postal_code": "527223220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.