Healthcare Provider Details

I. General information

NPI: 1700429487
Provider Name (Legal Business Name): NICOLE LYNN SCHMIDT AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2019
Last Update Date: 08/12/2021
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5333 HOLLISTER AVE STE 165
SANTA BARBARA CA
93111-2461
US

IV. Provider business mailing address

450 SUTTER ST RM 1400
SAN FRANCISCO CA
94108-4003
US

V. Phone/Fax

Practice location:
  • Phone: 805-967-4200
  • Fax:
Mailing address:
  • Phone: 415-362-2901
  • Fax: 415-839-6677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number3482
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: