Jacob Schultz

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

715295 Issued in NY

Practice address

7 Ashland Ave Apt 305
Buffalo, NY 14222-2182

Phone

(716) 908-8164

NPI assigned

Jun 18, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1669215489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ASHLAND AVE APT 305",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222182",
            "telephone_number": "716-908-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ASHLAND AVE APT 305",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222182",
            "telephone_number": "716-908-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "715295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liana Schroeder, LMHC, NCC, BC-TMH
• Jennifer A Schuetze, D.C.
• Shannon Lyn Schug, O.D.
• Gilbert Harold Schulenberg, DDS
• Barbara Mary Schultz, MS, RD, CDN
• Mary E Schultz, CRNA
• Peter F Schultz
• Rachael Marie Schultz, RN, CRNA
• Todd A Schultz, MD
• Paige Schultze, LCMHC

• Psychiatric/Mental Health Registered Nurse in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.