Active NPI
Megan R Schmidt, APN
- Chiropractor
- Peoria, IL
National Provider Identifier
1881966455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 041320379
- Practice address
- 2208 W Willow Knolls Dr
Peoria, IL 61614-1467 - Phone
- (309) 693-9600
- Fax
- (309) 693-3616
- NPI assigned
- Jan 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 041320379 | IL | Primary |
Addresses
Primary practice location
2208 W Willow Knolls Dr
Peoria, IL 61614-1467
Mailing address
2208 W Willow Knolls Dr
Peoria, IL 61614
Phone (309) 693-9600
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 |
|---|---|---|---|
| 041320379 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1881966455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 W WILLOW KNOLLS DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "61614",
"telephone_number": "309-693-9600",
"fax_number": "309-693-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 W WILLOW KNOLLS DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616141467",
"telephone_number": "309-693-9600",
"fax_number": "309-693-3616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "MEGAN",
"middle_name": "R",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-30",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "041320379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.