Healthcare Provider Details

I. General information

NPI: 1447034897
Provider Name (Legal Business Name): ALLISON LEE SCHMIDT FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON LEE PEARL FNP

II. Dates (important events)

Enumeration Date: 08/24/2023
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2680 GRAVOIS RD
HIGH RIDGE MO
63049-2508
US

IV. Provider business mailing address

2680 GRAVOIS RD
HIGH RIDGE MO
63049-2508
US

V. Phone/Fax

Practice location:
  • Phone: 660-216-5041
  • Fax:
Mailing address:
  • Phone: 636-253-5120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2023025988
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: