Healthcare Provider Details

I. General information

NPI: 1700711082
Provider Name (Legal Business Name): ZACHARY WARREN SCHMIDT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4535 NORMAL BLVD STE 245
LINCOLN NE
68506-2877
US

IV. Provider business mailing address

4535 NORMAL BLVD STE 245
LINCOLN NE
68506-2877
US

V. Phone/Fax

Practice location:
  • Phone: 402-620-6673
  • Fax:
Mailing address:
  • Phone: 402-620-6673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: