Healthcare Provider Details

I. General information

NPI: 1164142063
Provider Name (Legal Business Name): MENDY SCHMID HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2022
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

849 STONERIDGE PKWY
JEFFERSON CITY MO
65109-5034
US

IV. Provider business mailing address

11543 FLETCHER LN
HOLTS SUMMIT MO
65043-1625
US

V. Phone/Fax

Practice location:
  • Phone: 573-469-0056
  • Fax:
Mailing address:
  • Phone: 573-353-4976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2022010788
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: