Provider Demographics
NPI:1538360391
Name:SCHNEIDER, KATE WILHOIT (CNP)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:WILHOIT
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:FRANCES
Other - Last Name:WILHOIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:701 SAN MATEO BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-1434
Mailing Address - Country:US
Mailing Address - Phone:505-265-9511
Mailing Address - Fax:505-268-4350
Practice Address - Street 1:3487 W 10TH ST STE B
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-5361
Practice Address - Country:US
Practice Address - Phone:970-352-4762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORXN.0104957-NP363LW0102X
CORN.0166716363LW0102X, 363LW0102X
COAPN.0995816-NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000194757Medicaid