Provider Demographics
NPI:1568251221
Name:SCHROEDER, BLAKELY ANNE
Entity type:Individual
Prefix:MRS
First Name:BLAKELY
Middle Name:ANNE
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:BLAKELY
Other - Middle Name:ANNE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4535 NORMAL BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2891
Mailing Address - Country:US
Mailing Address - Phone:402-207-1050
Mailing Address - Fax:
Practice Address - Street 1:4535 NORMAL BLVD STE 235
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2891
Practice Address - Country:US
Practice Address - Phone:402-207-1050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE372500000X, 372600000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion