Individual provider Active NPI

Jacqueline Marie Schmidt, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1649657222
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18635NP Issued in OH
Practice address
1577 Goodman Ave Ste a
Cincinnati, OH 45224-1044
Phone
(513) 521-3600
Fax
(513) 521-6403
NPI assigned
May 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1106120 KY
Registered Nurse 163W00000X 28219340A IN
Registered Nurse 163W00000X 282576 OH
Registered Nurse 163W00000X 4704228417 MI
Family Nurse Practitioner 363LF0000X 71005621A IN
Family Nurse Practitioner 363LF0000X 71005621B IN
Family Nurse Practitioner 363LF0000X 3009730 KY
Family Nurse Practitioner 363LF0000X 18635NP OH Primary

Addresses

Primary practice location

1577 Goodman Ave Ste a
Cincinnati, OH 45224-1044

Mailing address

1577 Goodman Ave Ste a
Cincinnati, OH 45224-1044
Phone (513) 521-3600

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)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
28219340AINMDRegistered Nurse
1106120KYMDRegistered Nurse
4704228417MIMDRegistered Nurse
282576OHMDRegistered Nurse
71005621AINMDFamily Nurse Practitioner
71005621BINMDFamily Nurse Practitioner
3009730KYMDFamily Nurse Practitioner
18635NPOHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1430524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1649657222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 GOODMAN AVE STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452241044",
            "telephone_number": "513-521-3600",
            "fax_number": "513-521-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 GOODMAN AVE STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452241044",
            "telephone_number": "513-521-3600",
            "fax_number": "513-521-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-02",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1106120",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28219340A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "282576",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704228417",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005621A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005621B",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009730",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "18635NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.