Virginia Dianne Grayum-Schulte, B.S.

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

2003005687 Issued in MO

Practice address

14014 Manchester Road
Ballwin, MO 63011-4514

Phone

(636) 391-0015

Fax

(636) 391-0015

NPI assigned

Oct 27, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Virginia Dianne Schulte Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1609152263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14014 MANCHESTER ROAD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114514",
            "telephone_number": "636-391-0015",
            "fax_number": "636-391-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14014 MANCHESTER ROAD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114514",
            "telephone_number": "636-391-0015",
            "fax_number": "636-391-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYUM-SCHULTE",
        "first_name": "VIRGINIA",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "MO",
            "license": "2003005687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "SCHULTE",
            "middle_name": "DIANNE",
            "prefix": "MRS.",
            "credential": "B.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Other Technician in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Other Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.