Provider Demographics
NPI:1730822370
Name:SCHMIDT, CASSIDY JOANN (MEDICAL STUDENT)
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:JOANN
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MEDICAL STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 S PRESTON ST RM 305
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1702
Mailing Address - Country:US
Mailing Address - Phone:859-628-7018
Mailing Address - Fax:
Practice Address - Street 1:2200 CHILDRENS WAY STE 2404
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-1702
Practice Address - Country:US
Practice Address - Phone:859-628-7018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-20
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program