Healthcare Provider Details

I. General information

NPI: 1356889182
Provider Name (Legal Business Name): KAITLIN SCHILD AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2017
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17298 N OUTER 40 RD STE 200
CHESTERFIELD MO
63005-1456
US

IV. Provider business mailing address

17298 N OUTER 40 RD STE 200
CHESTERFIELD MO
63005-1456
US

V. Phone/Fax

Practice location:
  • Phone: 314-529-4900
  • Fax: 314-434-2679
Mailing address:
  • Phone: 314-529-4900
  • Fax: 314-434-2679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2013005467
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2017005135
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: