JO ANN SCHROEDER (NPI# 1679756910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679756910 |
| Entity Type | Individual |
| Full Name | JO ANN SCHROEDER |
| Credential | C.N.P. |
| Practice Address |
49th Medical Group/sgpf 280 First St Bldg 23 Holloman Afb NM 88330-8273 |
| Mailing Address |
49th Medical Group/sgpf 280 First Street, Bldg 23 Holloman Afb NM 88330-8273 |
| Practice Telephone | 5755724889 |
| Practice Fax Number | 5755722259 |
| Mailing Telephone | 5755724889 |
| Mailing Fax Number | 5755722259 |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | R57915 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
CNP01373 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
CNP01373 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
49TH MEDICAL GROUP/SGPF 280 FIRST ST BLDG 23 |
| City | HOLLOMAN AFB |
| State | NM |
| Zip Code | 88330-8273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326029760 | Franklin Devon Waddell | Pediatrics | 49th Medical Group/sgpf, 280 First Street, Bldg 23, Holloman Afb, NM 88330-8273 | 2005-11-11 |
| 1528379732 | Raquel Shelly Solivan | Military Health Care Provider | 49th Medical Group/sgpf, 280 First Street, Bldg 23, Holloman Afb, NM 88330-8273 | 2010-06-23 |
| 1467686154 | Hayley Michelle Crandall | Military Health Care Provider | 49th Medical Group/sgpf, 280 First Street, Bldg 23, Holloman Afb, NM 88330-8273 | 2009-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598312084 | Zachary James Smith | Pharmacist | 49th Medical Group 280 First Street, Holloman Afb, NM 88330 | 2019-08-20 |
| 1346776804 | Maxilea Isom | Behavior Technician | 2079 Eglin Ave Apt A, Holloman, Afb, NM 88330 | 2017-05-03 |
| 1932558665 | Courtney Davis | Day Training/Habilitation Specialist | 2228 La Luz Pkwy Unit A, Holloman Afb, NM 88330 | 2016-06-03 |
| 1568849255 | Ryan Abner | Registered Nurse | 49th Medical Building 17, Holloman Afb, NM 88330 | 2015-05-01 |
| 1710384292 | United States Air Force | Military Hospital | 49th Medical Bldg 17, Holloman Afb, NM 88330 | 2014-11-26 |
| 1174934764 | Jason Gordon | Social Worker | 1st Street Holloman Afb, Holloman Afb, NM 88330 | 2014-05-16 |
| 1649512807 | Philip Walker | Internal Medicine | 280 1st St, Holloman Afb, Alamogordo, NM 88330 | 2013-03-25 |
| 1275891889 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 551 4th Street, Bldg. 227, Holloman Afb, NM 88330 | 2012-05-02 |
| 1568606317 | Kimberly Dawn Jensen | Internal Medicine | 280 1st St Bldg 15, 49 Mdg Holloman Afb, Holloman Afb, NM 88330 | 2009-04-23 |
| 1700042306 | Bettina Watkins | Family Medicine | 280 First St, Bldg 23, Holloman Afb, NM 88330 | 2008-08-03 |
| Find all providers in zip 88330 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
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| 1356358477 | Mary Louise Blankenship | Nurse Practitioner | 3200 La Orilla Rd Nw, Albuquerque, NM 87120-2742 | 2006-08-02 |
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| 1003415753 | Jessica Wood | Nurse Practitioner | 1400 Main St Nw, Los Lunas, NM 87031-4812 | 2020-10-23 |
| 1023620143 | Chona Miller | Nurse Practitioner | 1500 Lomas Blvd Nw, Albuquerque, NM 87104-1200 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
| City | HOLLOMAN AFB |
| Zip Code | 88330 |
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| 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.