Basic Information
Provider Information
NPI: 1952980500
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHULZ
FirstName: RACHEL
MiddleName: LEA
NamePrefix: MRS.
NameSuffix:  
Credential: NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2750 CLAY EDWARDS DR STE 304
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641163256
CountryCode: US
TelephoneNumber: 8168425555
FaxNumber: 8168428888
Practice Location
Address1: 2750 CLAY EDWARDS DR STE 304
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641163256
CountryCode: US
TelephoneNumber: 8168425555
FaxNumber: 8168428888
Other Information
ProviderEnumerationDate: 04/02/2021
LastUpdateDate: 10/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X2021010070MOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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