Active NPI
Mackenzie Schneider
- Licensed Practical Nurse
- Chesterfield, MO
National Provider Identifier
1902422975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 2012027364
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2012027364 | MO | MD | Licensed 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.