Individual provider Active NPI

Mary Ann Schultz, RN

  • Registered Nurse
  • Taylor Mill, KY
National Provider Identifier
1477618684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1042613 Issued in KY
Practice address
5143 Old Taylor Mill Rd
Taylor Mill, KY 41015-4103
Phone
(859) 240-9708
Fax
(859) 261-0623
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

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
1042613KYMDRegistered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1042613 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

5143 Old Taylor Mill Rd
Taylor Mill, KY 41015-4103

Mailing address

5143 0LD Taylor Mill Rd.
Taylor Mill, KY 41015-4103
Phone (859) 240-9708

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1628OtherKYFIRST STEPS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477618684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5143 0LD TAYLOR MILL RD.",
            "city": "TAYLOR MILL",
            "state": "KY",
            "postal_code": "410154103",
            "telephone_number": "859-240-9708",
            "fax_number": "859-261-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5143 OLD TAYLOR MILL RD",
            "city": "TAYLOR MILL",
            "state": "KY",
            "postal_code": "410154103",
            "telephone_number": "859-240-9708",
            "fax_number": "859-261-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1042613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS",
            "identifier": "1628",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor Mill, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.