Active NPI
Mark Russell Schmitt, RN
- Addiction (Substance Use Disorder) Registered Nurse
- Waukesha, WI
National Provider Identifier
1376981811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- 161492-30
- Practice address
- 1804 Dixie Dr.
Waukesha, WI 53189 - Phone
- (126) 240-8216
- NPI assigned
- Jun 6, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 161492-30 | WI | Primary |
Addresses
Primary practice location
1804 Dixie Dr.
Waukesha, WI 53189
Mailing address
1804 Dixie Dr.
Waukesha, WI 53189
Phone (262) 408-2167
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 |
|---|---|---|---|
| 161492-30 | WI | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1376981811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 DIXIE DR.",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53189",
"telephone_number": "262-408-2167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 DIXIE DR.",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53189",
"telephone_number": "126-240-8216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMITT",
"first_name": "MARK",
"middle_name": "RUSSELL",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-06",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "161492-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.