KRISTEN MARY SCHROEDER (NPI# 1265877690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265877690 |
| Entity Type | Individual |
| Full Name | KRISTEN MARY SCHROEDER |
| Credential | M.D. |
| Practice Address |
1002 Wishard Blvd Ste 4110 Indianapolis IN 46202-2872 |
| Mailing Address |
250 N Shadeland Ave Ste 200 Indianapolis IN 46219-4959 |
| Practice Telephone | 3179448162 |
| Practice Fax Number | 3179484848 |
| Mailing Telephone | 3179623834 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 01078407A | IN | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
01078407A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300016460 | 05 | |
| IN | MEDICARE PTAN | 264430926 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932587086 | Kristen Schroeder | Specialist/Technologist | 639 Saint Nicholas Ave, Dayton, OH 45410-2435 | 2015-05-09 |
| 1912472952 | Kristen Nicole Schroeder | Registered Nurse | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2018-10-05 |
| 1124507124 | Kristen Jean Schroeder | Pharmacist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2018-08-09 |
| 1477090314 | Kristen Schroeder | Pharmacist | 506 E San Antonio St, Victoria, TX 77901-6060 | 2017-01-30 |
| Street Address |
1002 WISHARD BLVD STE 4110 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-2872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000762 | Kathleen Isabel Crum | Psychologist | 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202-2872 | 2020-07-16 |
| 1508490608 | Tamara Jo Sue Stanley | Social Worker | 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202-2872 | 2020-02-27 |
| 1558806448 | Gabriela Marie Rodriguez | Psychologist | 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202-2872 | 2016-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821060294 | Michael Welling | Psychiatry & Neurology | 2040 Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2006-02-01 |
| 1184616294 | Fadia T Aldahan | Psychiatry & Neurology | 5502 East 16th Street, Suite A21, Indianapolis, IN 46218-4932 | 2005-08-16 |
| 1700337920 | Kledzik Psychiatric LLC | Psychiatry & Neurology | 9245 N Meridian St, 225, Indianapolis, IN 46260-1836 | 2016-10-24 |
| 1225477409 | Huma M Hosain | Psychiatry & Neurology | 355 W 16th St, #2364, Indianapolis, IN 46202-2207 | 2013-06-20 |
| 1033552310 | Axon Health Associates, LLC | Psychiatry & Neurology | 10585 N Meridian St, Suite 201, Indianapolis, IN 46290-1069 | 2013-04-16 |
| 1235422429 | Genalynne Carwile Mooneyham | Psychiatry & Neurology | 1111 W 10th St, #201, Indianapolis, IN 46202-4800 | 2011-05-19 |
| 1396924742 | Correctional Management Company | Psychiatry & Neurology | 9000 Keystone Xing, Suite 1040, Indianapolis, IN 46240-2118 | 2007-11-01 |
| 1790989671 | Ann M Kledzik | Psychiatry & Neurology | 702 Barnhill Dr, #4300, Indianapolis, IN 46202-5128 | 2007-06-13 |
| 1740401421 | Melisa Ybarra Martinez | Psychiatry & Neurology | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2007-05-01 |
| 1194819714 | Robert Peter Mohlman | Psychiatry & Neurology | 320 North Tibbs Avenue, Indianapolis, IN 46222 | 2006-10-03 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on KRISTEN MARY SCHROEDER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.