Schneider Mobile Clinic LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SCHNEIDER MOBILE CLINIC LLC

Practice address

6408 Edge Water Dr
Waterloo, IL 62298-3059

Phone

(618) 514-0427

NPI assigned

Dec 15, 2021

Organization subpart

No

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

Authorized official

Name

Francis Schneider

Title

Owner

Phone

(618) 719-6981

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1891454013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 EDGE WATER DR",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622983059",
            "telephone_number": "618-514-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 EDGE WATER DR",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622983059",
            "telephone_number": "618-514-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHNEIDER MOBILE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-719-6981"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Melby Schanks, M.S.
• Lisa Schanz
• Margaret Schlotter, MHP
• Emma Schmidt, CASE MANAGER
• Madison Schmitz, RSA
• Elisha F Schnieders, CPNP
• Kailey Schoenbeck, PT
• Elizabeth Schreiber, QMHP
• Dawn Elizabeth Schulte, LCSW
• Marsha Schultheis, MHP

• Nurse Practitioner in Waterloo, IL
• Providers in Waterloo, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.