1225458268 NPI number — MRS. BROOKE LINDSEY SCHNEID MS, RD, CDN

Table of content: MRS. BROOKE LINDSEY SCHNEID MS, RD, CDN (NPI 1225458268)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225458268 NPI number — MRS. BROOKE LINDSEY SCHNEID MS, RD, CDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHNEID
Provider First Name:
BROOKE
Provider Middle Name:
LINDSEY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, RD, CDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PAUGH
Provider Other First Name:
BROOKE
Provider Other Middle Name:
LINDSEY
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS, RD, CDN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1225458268
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/10/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1011 NEW HAMPSHIRE AVE NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20037-1803
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-795-2785
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
77 HUDSON ST
Provider Second Line Business Practice Location Address:
APT 3308
Provider Business Practice Location Address City Name:
JERSEY CITY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07302-8517
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-226-1801
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2014

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: 133V00000X , with the licence number:  007503 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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