Healthcare Provider Details

I. General information

NPI: 1528915220
Provider Name (Legal Business Name): KATLYN SCHIPPERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2979 BOUTIN DR
CAPE GIRARDEAU MO
63701-9180
US

IV. Provider business mailing address

2979 BOUTIN DR
CAPE GIRARDEAU MO
63701-9180
US

V. Phone/Fax

Practice location:
  • Phone: 573-841-2394
  • Fax:
Mailing address:
  • Phone: 573-841-2394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: