Justin Schneider

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

808 Main St
Scott City, MO 63780-2020

Phone

(573) 521-6647

NPI assigned

May 11, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Familiar Choice Home Care Inc

  • Attendant Care Provider
  • Scott City, MO
  • NPI 1194246413
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1215463153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 MAIN ST",
            "city": "SCOTT CITY",
            "state": "MO",
            "postal_code": "637802020",
            "telephone_number": "573-521-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 MAIN ST",
            "city": "SCOTT CITY",
            "state": "MO",
            "postal_code": "637802020",
            "telephone_number": "573-521-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacy Elizabeth Robison, RPH
• Ron McCulley
• Dianne Patricia Roth, M.A.CCC-SLP
• Saint Francis Medical Center
• Saint Francis Medical Center
• Scott City Medical Clinic LLC
• Scott City Medical Clinic LLC
• Scott City School District R-1
• Scott City Sunshine LLC
• Scott No 1 Inc

• All providers in Scott City, MO
• Personal Care Attendant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.