1548361819 NPI number — DEBRA L SCHEIDEGGER A.R.N.P.

Table of content: DEBRA L SCHEIDEGGER A.R.N.P. (NPI 1548361819)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548361819 NPI number — DEBRA L SCHEIDEGGER A.R.N.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHEIDEGGER
Provider First Name:
DEBRA
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
A.R.N.P.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548361819
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16498 N STATE HIGHWAY 5
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUNRISE BEACH
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
65079-6603
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
307-426-4060
Provider Business Mailing Address Fax Number:
307-426-4061

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1500 SW 10TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66604-1301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-354-4740
Provider Business Practice Location Address Fax Number:
785-233-2295
Provider Enumeration Date:
09/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  44979 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 928402 . This is a "FIRSTGUARD HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100367300B , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 161651 . This is a "BLUE CROSS BLUE SHIELD KS" identifier . This identifiers is of the category "OTHER".




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