Individual provider Active NPI

Judith Ann Schnack, RN, FNP

  • Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1366814105
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
232871 Issued in CA
Practice address
2525 Pio Pico Dr
Suite 301
Carlsbad, CA 92008-1568
Phone
(760) 431-4100
Fax
(760) 431-4133
NPI assigned
Oct 20, 2015
Last updated
Oct 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 232871 CA Primary

Addresses

Primary practice location

2525 Pio Pico Dr
Suite 301
Carlsbad, CA 92008-1568

Mailing address

2525 Pio Pico Dr Ste 301
Hospice of the North Coast
Carlsbad, CA 92008-1568
Phone (760) 431-4100

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
232871CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of the North Coast PastSince Jul 25, 2015 Accepting new patients
Hospice of the North Coast Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1366814105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 PIO PICO DR STE 301",
            "address_2": "HOSPICE OF THE NORTH COAST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081568",
            "telephone_number": "760-431-4100",
            "fax_number": "760-431-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 PIO PICO DR",
            "address_2": "SUITE 301",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081568",
            "telephone_number": "760-431-4100",
            "fax_number": "760-431-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNACK",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "232871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.