MRS. MAXINE MYRA SCHROEDER (NPI# 1568651461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568651461 |
| Entity Type | Individual |
| Full Name | MRS. MAXINE MYRA SCHROEDER |
| Credential | RD, LD, CDE |
| Practice Address |
388 Martin St Twin Falls ID 83301-4544 |
| Mailing Address |
1360 E 3500 N Buhl ID 83316-6214 |
| Practice Telephone | 2087340451 |
| Practice Fax Number | 2087340452 |
| Mailing Telephone | 2085436579 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2008-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | D-219 | ID | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806421400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609342336 | Maxine Foster Schroeder | Social Worker | 104 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2018-10-20 |
| Street Address |
388 MARTIN ST |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013974658 | Cathy White Canty | Family Medicine | 388 Martin St, Twin Falls, ID 83301-4544 | 2006-04-27 |
| 1831554286 | Paul W Reeve | Pharmacist | 388 Martin St, Twin Falls, ID 83301-4544 | 2015-12-29 |
| 1184094344 | Kalen Knopp | Physician Assistant | 388 Martin St, Twin Falls, ID 83301-4544 | 2015-09-30 |
| 1750644456 | Dustin L Ziebarth | Family Medicine | 388 Martin St, Twin Falls, ID 83301-4544 | 2012-06-19 |
| 1750667762 | Brandon Dee Tanner | Physician Assistant | 388 Martin St, Twin Falls, ID 83301-4544 | 2011-10-24 |
| 1033413240 | Ryan Dennis Hodges | Physician Assistant | 388 Martin St, Twin Falls, ID 83301-4544 | 2011-01-03 |
| 1437345923 | Benjamin W Attebury | Physician Assistant | 388 Martin St, Twin Falls, ID 83301-4544 | 2007-09-19 |
| 1407049422 | Cameron Talmage Clark | Physician Assistant | 388 Martin St, Twin Falls, ID 83301-4544 | 2007-08-22 |
| 1831272772 | Kenneth C. Romney | Legal Medicine | 388 Martin St, Twin Falls, ID 83301-4544 | 2006-10-23 |
| 1750474300 | Lindsay A. Hubsmith | Physician Assistant | 388 Martin St, Twin Falls, ID 83301-4544 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781743 | Anna Speegle | Dietitian, Registered | 427 Meadowview Ln, Twin Falls, ID 83301-6883 | 2020-08-19 |
| 1477179646 | Kayla Lynne Johnson | Dietitian, Registered | 570 Cobra Ct, Twin Falls, ID 83301-5694 | 2020-06-23 |
| 1720542558 | April Bruns | Dietitian, Registered | 2844 Sunray Loop, Twin Falls, ID 83301-6700 | 2019-01-25 |
| 1154783199 | Kyli Gough | Dietitian, Registered | 496 Shoup Ave W Ste A, Twin Falls, ID 83301-5043 | 2016-03-28 |
| 1821463563 | Melissa A Sleight | Dietitian, Registered | 2550 Addison Ave E Ste C, Twin Falls, ID 83301-6749 | 2015-12-07 |
| 1164022919 | Grace Honecker | Dietitian, Registered | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-10-30 |
| 1134776586 | Holly Anderson | Dietitian, Registered | 1850 Bitterroot Dr, Twin Falls, ID 83301-3513 | 2019-08-21 |
| 1215420591 | Sonamarivell Granados | Dietitian, Registered | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2018-06-11 |
| 1922529148 | Robert K Welker | Dietitian, Registered | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2017-06-28 |
| 1730609710 | Isaac Wright | Dietitian, Registered | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2017-06-21 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on MRS. MAXINE MYRA 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.