Individual provider Active NPI

Deborah Schuchardt, CRNP

  • Adult Health Nurse Practitioner
  • Westminster, MD
National Provider Identifier
1811231723
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R097434 Issued in MD
Practice address
295 Stoner Ave
Suite 305
Westminster, MD 21157-5698
Phone
(410) 848-7117
Fax
(410) 857-8575
NPI assigned
Nov 15, 2012
Last updated
Oct 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R097434 MD Primary

Addresses

Primary practice location

295 Stoner Ave
Suite 305
Westminster, MD 21157-5698

Mailing address

295 Stoner Ave
Suite 305
Westminster, MD 21157-5698
Phone (410) 848-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151201000608 MD Practitioner - Nurse Practitioner 5092015883 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Nov 7, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1811231723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 STONER AVE",
            "address_2": "SUITE 305",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575698",
            "telephone_number": "410-848-7117",
            "fax_number": "410-857-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 STONER AVE",
            "address_2": "SUITE 305",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575698",
            "telephone_number": "410-848-7117",
            "fax_number": "410-857-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUCHARDT",
        "first_name": "DEBORAH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R097434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.