Basic Information
Provider Information
NPI: 1447658182
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHMIDT
FirstName: MONIKA
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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OtherLastNameType:  
Mailing Information
Address1: 719 THOMPSON LN STE 30330
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372044701
CountryCode: US
TelephoneNumber: 6159362000
FaxNumber:  
Practice Location
Address1: TENNESSEE VALLEY HEALTHCARE SYSTEMS
Address2: 1310 24TH AVE S
City: NASHVILLE
State: TN
PostalCode: 37212
CountryCode: US
TelephoneNumber: 6153274751
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/11/2014
LastUpdateDate: 06/11/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/28/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XAPN24236TNN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363LA2200XAPN24236TNN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
363LG0600XAPN24236TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology

No ID Information.


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