Healthcare Provider Details

I. General information

NPI: 1255941993
Provider Name (Legal Business Name): SAMANTHA LYNN SCHNEIDER-ROBERTS MSN,APRN,FNP-C,CST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMANTHA LYNN SCHNEIDER MSN,APRN,FNP-C,CST

II. Dates (important events)

Enumeration Date: 08/07/2020
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2062 WHISKEY RD
AIKEN SC
29803-6183
US

IV. Provider business mailing address

6142 BIMINI LN
AIKEN SC
29803-3888
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 803-270-6834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number57185
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11011212
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number24267
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5016243
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberGAA-NP000792
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: