Individual provider Active NPI

Andrea Nicole B Schneider, ARNP, EAMP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bothell, WA
National Provider Identifier
1750861977
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61479985 Issued in WA
Practice address
19515 N Creek Pkwy Ste 202
Bothell, WA 98011-8200
Phone
(425) 949-0204
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X WA
Naturopath 175F00000X WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61479985 WA Primary

Addresses

Primary practice location

19515 N Creek Pkwy Ste 202
Bothell, WA 98011-8200

Mailing address

19515 N Creek Pkwy Ste 202
Bothell, WA 98011-8200
Phone (425) 949-0204

Other names 1

  • Andrea B Schneider Other name

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

State licenses

LicenseStateTypeSpecialty
AP61479985WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert B Devney CurrentSince Oct 22, 2023 Accepting new patients

Locations

19515 North Creek Pkwy
Ste 202
Bothell, WA 98011
Phone (425) 443-6496

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1750861977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19515 N CREEK PKWY STE 202",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118200",
            "telephone_number": "425-949-0204",
            "fax_number": "855-936-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19515 N CREEK PKWY STE 202",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118200",
            "telephone_number": "425-949-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "ANDREA NICOLE",
        "middle_name": "B",
        "credential": "ARNP, EAMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61479985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "SCHNEIDER",
            "middle_name": "B",
            "credential": "ARNP,  EAMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.