Provider Demographics
NPI:1053593442
Name:SCHNEIDER, RACHAEL K (ACNP)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:K
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8230 WALNUT HILL LN STE 410
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4469
Mailing Address - Country:US
Mailing Address - Phone:214-369-3613
Mailing Address - Fax:214-890-1175
Practice Address - Street 1:8230 WALNUT HILL LN STE 410
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231
Practice Address - Country:US
Practice Address - Phone:214-369-3613
Practice Address - Fax:214-890-1175
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP116261363LA2100X
TX700441363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1053593442OtherNPI
TX892N58OtherUPIN
TX700441OtherNURSE LICENSE
TX892N58OtherUPIN
TXTXB149328Medicare PIN