Healthcare Provider Details

I. General information

NPI: 1699220533
Provider Name (Legal Business Name): AMY LEA SCHMEROLD RN, MSN, AGPCNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2016
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 S WOODS MILL RD STE 620S
CHESTERFIELD MO
63017-3619
US

IV. Provider business mailing address

224 S WOODS MILL RD STE 620S
CHESTERFIELD MO
63017-3619
US

V. Phone/Fax

Practice location:
  • Phone: 636-685-7788
  • Fax: 314-205-6377
Mailing address:
  • Phone: 636-685-7788
  • Fax: 314-205-6377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number2016005844
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: