Active NPI
Paula Kathryn Schmalz, CRNA
- Specialist
- Fargo, ND
National Provider Identifier
1861427338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R17156
- Practice address
- 84 Prairiewood Dr S
Fargo, ND 58103-4609 - Phone
- (701) 361-6957
- Fax
- (701) 237-4955
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | R17156 | ND | Primary |
| Specialist | 174400000X | R 114307-6 | MN |
Addresses
Primary practice location
84 Prairiewood Dr S
Fargo, ND 58103-4609
Mailing address
84 Prairiewood Dr S
Fargo, ND 58103-4609
Phone (701) 361-6957
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SCH18570 | Other | ND | NDBCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 114307-6 | MN | MD | Specialist |
| R17156 | ND | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861427338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 PRAIRIEWOOD DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581034609",
"telephone_number": "701-361-6957",
"fax_number": "701-237-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 PRAIRIEWOOD DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581034609",
"telephone_number": "701-361-6957",
"fax_number": "701-237-4955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMALZ",
"first_name": "PAULA",
"middle_name": "KATHRYN",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ND",
"license": "R17156",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MN",
"license": "R 114307-6",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NDBCBS",
"identifier": "SCH18570",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.