Provider Demographics
NPI:1730893835
Name:SLEEP INNOVATIONS PLLC
Entity type:Organization
Organization Name:SLEEP INNOVATIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NIKI
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHNEEKLOTH
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:563-341-7378
Mailing Address - Street 1:2882 AAA CT
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-3406
Mailing Address - Country:US
Mailing Address - Phone:563-341-7378
Mailing Address - Fax:800-861-9623
Practice Address - Street 1:2882 AAA CT
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-3406
Practice Address - Country:US
Practice Address - Phone:563-349-4901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty