Individual provider Active NPI

Toni R Schmidt, RN

  • Registered Nurse First Assistant
  • Winlock, WA
National Provider Identifier
1508930074
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN00116552 Issued in WA
Practice address
745 Tennessee Rd
Winlock, WA 98596-9744
Phone
(360) 785-3528
Fax
(360) 705-2012
NPI assigned
Nov 17, 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
RN00116552WAMDRegistered Nurse First Assistant

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN00116552 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

745 Tennessee Rd
Winlock, WA 98596-9744

Mailing address

745 Tennessee Rd
Winlock, WA 98596-9744
Phone (360) 785-3528

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
9625419MedicaidWA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 3, 2009.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1508930074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 TENNESSEE RD",
            "city": "WINLOCK",
            "state": "WA",
            "postal_code": "985969744",
            "telephone_number": "360-785-3528",
            "fax_number": "360-705-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 TENNESSEE RD",
            "city": "WINLOCK",
            "state": "WA",
            "postal_code": "985969744",
            "telephone_number": "360-785-3528",
            "fax_number": "360-705-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "TONI",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WA",
            "license": "RN00116552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9625419",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winlock, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.