Provider Demographics
NPI:1528658168
Name:SCHOOLER, TARA ELIZABETH (RD LD)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:ELIZABETH
Last Name:SCHOOLER
Suffix:
Gender:F
Credentials:RD LD
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:ELIZABETH
Other - Last Name:CROTTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11424 NW 25TH ST
Mailing Address - Street 2:
Mailing Address - City:SILVER LAKE
Mailing Address - State:KS
Mailing Address - Zip Code:66539-9405
Mailing Address - Country:US
Mailing Address - Phone:785-969-4736
Mailing Address - Fax:
Practice Address - Street 1:634 SW MULVANE ST STE 200
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1678
Practice Address - Country:US
Practice Address - Phone:785-272-2240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2238133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered