Healthcare Provider Details

I. General information

NPI: 1730535360
Provider Name (Legal Business Name): PRISCILLA PEREZ SCHMID MPH, RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2016
Last Update Date: 11/16/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 N CONISTOR LN STE B-414
LIBERTY MO
64068-1957
US

IV. Provider business mailing address

6821 N CORRINGTON AVE
KANSAS CITY MO
64119-1618
US

V. Phone/Fax

Practice location:
  • Phone: 816-368-1194
  • Fax:
Mailing address:
  • Phone: 816-368-1194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86043300
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: