Holly May Schroeder, RD, CNSD

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

715435 Issued in CA

Practice address

3003 Health Center Dr
San Diego, CA 92123-2700

Phone

(858) 939-4269

Fax

(858) 939-4269

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922218221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 IDAHO ST # 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163154",
            "telephone_number": "858-939-4269",
            "fax_number": "858-939-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HEALTH CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232700",
            "telephone_number": "858-939-4269",
            "fax_number": "858-939-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "HOLLY",
        "middle_name": "MAY",
        "name_prefix": "Ms.",
        "credential": "RD, CNSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "CA",
            "license": "715435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew John Schrittwieser
• Barbara Jean Schrock, PH.D.
• Lisa Renee Schroeder-Lam, PT
• David Julian Schroeder
• Gary Lynn Schroeder, MD
• Jennifer G Schroeder
• Jennifer Kristine Schroeder, PHYSICIAN ASSISTANT
• Margaret Schroeder, MPH, RDN, LDN
• Mary Schroeder, CNM
• Patricia Ann Schroeder, PSY.D.

• Pediatric Nutrition Registered Dietitian in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.