Active NPI
Colby Rae Schmeeckle, NP
- Nurse Practitioner
- Ventura, CA
National Provider Identifier
1205567393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95019949
- Practice address
- 147 N Brent St
Ventura, CA 93003-2854 - Phone
- (805) 948-3607
- NPI assigned
- Jun 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95019949 | CA | Primary |
Addresses
Primary practice location
147 N Brent St
Ventura, CA 93003-2854
Mailing address
1320 San Simeon CT Unit 6
Ventura, CA 93003-6027
Phone (805) 827-2297
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Extendedcare.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220928001334 | CA | Practitioner - Nurse Practitioner | 2961888946 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- colbyschmeeckle@vecp.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1205567393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 SAN SIMEON CT UNIT 6",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036027",
"telephone_number": "805-827-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 N BRENT ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032854",
"telephone_number": "805-948-3607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMEECKLE",
"first_name": "COLBY",
"middle_name": "RAE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-21",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95019949",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Extendedcare.com",
"affiliation": "N",
"endpointDescription": "Case managers, LCSW, and physicians have access to this",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Discusses patient care and goals with treatment options",
"address_1": "147 N Brent St",
"city": "Ventura",
"state": "CA",
"country_code": "US",
"postal_code": "930032854",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.