Active NPI
Philip Schneider, RN
- Community Health Registered Nurse
- Benson, AZ
National Provider Identifier
1003070772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN095486
- Practice address
- 470 S Ocotillo Ave
Benson, AZ 85602-6403 - Phone
- (520) 287-4713
- Fax
- (520) 287-9794
- NPI assigned
- Jul 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN095486 | AZ | Primary |
Addresses
Primary practice location
470 S Ocotillo Ave
Benson, AZ 85602-6403
Mailing address
470 S Ocotillo Ave
Benson, AZ 85602-6403
Phone (520) 287-4713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN095486 | Other | AZ | RN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN095486 | AZ | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215734400000",
"number": "1003070772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 S OCOTILLO AVE",
"city": "BENSON",
"state": "AZ",
"postal_code": "856026403",
"telephone_number": "520-287-4713",
"fax_number": "520-287-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 S OCOTILLO AVE",
"city": "BENSON",
"state": "AZ",
"postal_code": "856026403",
"telephone_number": "520-287-4713",
"fax_number": "520-287-9794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "PHILIP",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2008-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "AZ",
"license": "RN095486",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "RN095486",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Benson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.