Individual provider Active NPI

Angela Schwarz, RN

  • Registered Nurse
  • Elkhart, IN
National Provider Identifier
1285202390
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28231292A Issued in IN
Practice address
1201 E Beardsley Ave
Elkhart, IN 46514-3574
Phone
(574) 383-7712
Fax
(574) 970-0604
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28231292A IN Primary

Addresses

Primary practice location

1201 E Beardsley Ave
Elkhart, IN 46514-3574

Mailing address

1201 E Beardsley Ave
Elkhart, IN 46514-3574
Phone (574) 383-7712

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

LicenseStateTypeSpecialty
28231292AINMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1285202390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E BEARDSLEY AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143574",
            "telephone_number": "574-383-7712",
            "fax_number": "574-970-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E BEARDSLEY AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143574",
            "telephone_number": "574-383-7712",
            "fax_number": "574-970-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARZ",
        "first_name": "ANGELA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28231292A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.