Healthcare Provider Details

I. General information

NPI: 1912361411
Provider Name (Legal Business Name): AMANDA S SCHMITT ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 SAINT ELIZABETH BLVD STE 3200
O FALLON IL
62269-1281
US

IV. Provider business mailing address

12855 N 40 DR STE 375
SAINT LOUIS MO
63141-8657
US

V. Phone/Fax

Practice location:
  • Phone: 618-489-8030
  • Fax: 618-589-3518
Mailing address:
  • Phone: 314-567-6071
  • Fax: 314-362-1185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number209014313
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: