Active NPI
Rebecca Lyn Schmidt, RN
- Registered Nurse
- Armington, IL
National Provider Identifier
1407553092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041.236837
- Practice address
- 29603 Center Rd
Armington, IL 61721-9454 - Phone
- (309) 883-0502
- NPI assigned
- Feb 14, 2023
- Last updated
- Feb 14, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.236837 | IL | Primary |
Addresses
Primary practice location
29603 Center Rd
Armington, IL 61721-9454
Mailing address
2712 Westbrook Dr
Bloomington, IL 61705-6556
Phone (217) 737-7792
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 |
|---|---|---|---|
| 041.236837 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1407553092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2712 WESTBROOK DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617056556",
"telephone_number": "217-737-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29603 CENTER RD",
"city": "ARMINGTON",
"state": "IL",
"postal_code": "617219454",
"telephone_number": "309-883-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "REBECCA",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-14",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.236837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Armington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.