Individual provider Active NPI

Mackenzie Schneider

  • Licensed Practical Nurse
  • Chesterfield, MO
National Provider Identifier
1902422975
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
2012027364 Issued in MO
Practice address
14561 N Outer 40 Rd
Chesterfield, MO 63017-5703
Phone
(636) 235-8587
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2012027364 MO Primary

Addresses

Primary practice location

14561 N Outer 40 Rd
Chesterfield, MO 63017-5703

Mailing address

1289 Highway D
Foristell, MO 63348-2121
Phone (636) 235-8587

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL nursekenzie1221@gmail.com Other

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
2012027364MOMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1902422975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 HIGHWAY D",
            "city": "FORISTELL",
            "state": "MO",
            "postal_code": "633482121",
            "telephone_number": "636-235-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14561 N OUTER 40 RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175703",
            "telephone_number": "636-235-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "MACKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2012027364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nursekenzie1221@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Personal email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14561 N Outer 40 Rd",
            "city": "Chesterfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630175703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.