Organization Active NPI

Amy Blackwell Schunemeyer

  • Foot & Ankle Surgery Podiatrist
  • New Iberia, LA
National Provider Identifier
1871880682
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
AMY BLACKWELL SCHUNEMEYER
Practice address
398 N Lewis St
New Iberia, LA 70563-2843
Phone
(337) 365-4195
Fax
(337) 365-9557
NPI assigned
Jun 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Amy Blackwell Schunemeyer, DPMNPI 1285629451
Title
President
Phone
(337) 365-4195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

398 N Lewis St
New Iberia, LA 70563-2843

Mailing address

398 N Lewis St
New Iberia, LA 70563-2843
Phone (337) 365-4195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111116000366 LA Part B Supplier - Clinic/Group Practice 0244404812 Receives reassigned benefits from 1 practitioner
Practice locations: New Iberia, LA
O20111212000509 LA DME Supplier - Physician - Podiatry 0244404812 Practice locations: New Iberia, LA

National Provider Directory

National Provider Directory

Locations

398 N Lewis St
New Iberia, LA 70563
Phone (337) 365-4195

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1871880682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 N LEWIS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632843",
            "telephone_number": "337-365-4195",
            "fax_number": "337-365-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 N LEWIS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632843",
            "telephone_number": "337-365-4195",
            "fax_number": "337-365-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY BLACKWELL SCHUNEMEYER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "SCHUNEMEYER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "BLACKWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-365-4195",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.