Individual provider Active NPI

Danielle Schneeweis

  • Gerontology Nurse Practitioner
  • Sierra Vista, AZ
National Provider Identifier
1942067004
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
296213 Issued in AZ
Practice address
1048 E Fry Blvd Ste R
Sierra Vista, AZ 85635-2683
Phone
(520) 458-9450
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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 296213 AZ Primary

Addresses

Primary practice location

1048 E Fry Blvd Ste R
Sierra Vista, AZ 85635-2683

Mailing address

2732 Plaza de Viola
Sierra Vista, AZ 85650-4255
Phone (520) 481-1530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
296213AZMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1942067004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 PLAZA DE VIOLA",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856504255",
            "telephone_number": "520-481-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 E FRY BLVD STE R",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352683",
            "telephone_number": "520-458-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEEWEIS",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "296213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.