Healthcare Provider Details

I. General information

NPI: 1114856713
Provider Name (Legal Business Name): KAYLA MARIE SCHMIDT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1103 W BURNSVILLE PKWY
BURNSVILLE MN
55337-5824
US

IV. Provider business mailing address

2261 7TH ST NW
NEW BRIGHTON MN
55112-6526
US

V. Phone/Fax

Practice location:
  • Phone: 612-427-0951
  • Fax:
Mailing address:
  • Phone: 612-427-0951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF05260236
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberF05260236
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: