Healthcare Provider Details

I. General information

NPI: 1609233220
Provider Name (Legal Business Name): KATELYN SCHNEIDER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2016
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 10TH ST SE
CEDAR RAPIDS IA
52403-2414
US

IV. Provider business mailing address

202 10TH ST SE
CEDAR RAPIDS IA
52403-2414
US

V. Phone/Fax

Practice location:
  • Phone: 319-398-1545
  • Fax: 877-303-8768
Mailing address:
  • Phone: 319-398-1545
  • Fax: 877-303-8768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number132718
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: