Schroer Behavioral Health Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

110853 Issued in NE

Legal business name

SCHROER BEHAVIORAL HEALTH SERVICES

Practice address

1717 Road 2500
Lawrence, NE 68957-6022

Phone

(402) 460-9936

Fax

(402) 756-7566

NPI assigned

Sep 24, 2009

Organization subpart

No

Name

Mrs. Kylene Marie Schroer, APRN

Title

Owner

Phone

(402) 460-9936

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2009.

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1942534870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 ROAD 2500",
            "city": "LAWRENCE",
            "state": "NE",
            "postal_code": "689576022",
            "telephone_number": "402-460-9936",
            "fax_number": "402-756-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 ROAD 2500",
            "city": "LAWRENCE",
            "state": "NE",
            "postal_code": "689576022",
            "telephone_number": "402-460-9936",
            "fax_number": "402-756-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHROER BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "SCHROER",
        "authorized_official_first_name": "KYLENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-460-9936",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "110853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID FQHC",
            "identifier": "10025076100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "254815",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025079900",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "39166",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Herz
• Cassandra Himmelberg
• Kerri Knotts
• Lawrence Rural Fire Dist.
• Lawrence-Nelson Public School

• All providers in Lawrence, NE
• Psychiatric/Mental Health Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.