Individual provider Active NPI

Andrea Schlidt, APNP, GNP-BC

  • Gerontology Nurse Practitioner
  • Cedarburg, WI
National Provider Identifier
1902257991
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1637-33 Issued in WI
Practice address
W62N1028 Fairhaven CT
Cedarburg, WI 53012-1288
Phone
(262) 488-2119
NPI assigned
Jun 30, 2016
Last updated
Jun 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1637-33 WI Primary

Addresses

Primary practice location

W62N1028 Fairhaven CT
Cedarburg, WI 53012-1288

Mailing address

W62N1028 Fairhaven CT
Cedarburg, WI 53012-1288
Phone (262) 488-2119

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
1637-33WIMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1902257991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W62N1028 FAIRHAVEN CT",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121288",
            "telephone_number": "262-488-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W62N1028 FAIRHAVEN CT",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121288",
            "telephone_number": "262-488-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLIDT",
        "first_name": "ANDREA",
        "credential": "APNP, GNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "1637-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.