Individual provider Active NPI

Heather Renee Schneider, D.C.

  • Chiropractor
  • Kingsport, TN
National Provider Identifier
1437529328
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000002857 Issued in TN
Practice address
230 Island St
Kingsport, TN 37660-4814
Phone
(423) 573-1028
NPI assigned
Oct 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0000002857 TN Primary

Addresses

Primary practice location

230 Island St
Kingsport, TN 37660-4814

Mailing address

4016 Bloomingdale Rd
Kingsport, TN 37660-7063
Phone (423) 573-1028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160201001756 TN Practitioner - Chiropractic 7517267438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

230 Island St
Kingsport, TN 37660-4814
Phone (423) 573-1028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2857TNMDMental Health Counselor
DC0000002857TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Schneider Chiropractic PLLC Chiropractor CurrentSince Jan 13, 2016 Accepting new patients

Locations

1921 Highway 394
Ste E
Blountville, TN 37617
Phone (423) 573-1028

230 Island St
Kingsport, TN 37660
Phone (423) 573-1028

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1437529328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 BLOOMINGDALE RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607063",
            "telephone_number": "423-573-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 ISLAND ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604814",
            "telephone_number": "423-573-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000002857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.