Healthcare Provider Details

I. General information

NPI: 1720912066
Provider Name (Legal Business Name): HILLARY SCHUBERGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 OAK ST
BONNER SPRINGS KS
66012-1046
US

IV. Provider business mailing address

25549 HATCHELL RD
TONGANOXIE KS
66086-3378
US

V. Phone/Fax

Practice location:
  • Phone: 913-638-7034
  • Fax:
Mailing address:
  • Phone: 913-638-7034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-85720-091
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: