Individual provider Active NPI

Vicki Lynne Schutte

  • Behavior Technician
  • Cadillac, MI
National Provider Identifier
1841731486
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
S300847564022 Issued in MI
Practice address
7716 S. 27 Rd
Cadillac, MI 49601
Phone
(231) 667-4021
NPI assigned
Mar 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X S300847564022 MI Primary

Addresses

Primary practice location

7716 S. 27 Rd
Cadillac, MI 49601

Mailing address

7716 S 27 Rd
Cadillac, MI 49601-8994
Phone (231) 667-4021

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
S300847564022MIMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1841731486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7716 S 27 RD",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018994",
            "telephone_number": "231-667-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7716 S. 27 RD",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "49601",
            "telephone_number": "231-667-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTTE",
        "first_name": "VICKI",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "S300847564022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.