Individual provider Active NPI

Olivia Ann Schomaker

  • Behavior Technician
  • Freeland, MI
National Provider Identifier
1861927501
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
526660067336 Issued in MI
Practice address
7866 Teaberry Dr
Freeland, MI 48623-8422
Phone
(989) 254-9965
NPI assigned
May 1, 2017
Last updated
May 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 526660067336 MI Primary

Addresses

Primary practice location

7866 Teaberry Dr
Freeland, MI 48623-8422

Mailing address

7866 Teaberry Dr
Freeland, MI 48623-8422
Phone (989) 254-9965

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
526660067336MIMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1861927501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7866 TEABERRY DR",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238422",
            "telephone_number": "989-254-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7866 TEABERRY DR",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238422",
            "telephone_number": "989-254-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOMAKER",
        "first_name": "OLIVIA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "526660067336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.