=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861441321
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TERRI S SCHMITT DPM
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/10/2006
-----------------------------------------------------
Last Update Date | 05/12/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 627 25 1/2 RD
-----------------------------------------------------
City | GRAND JUNCTION
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81505-6401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-242-3535
-----------------------------------------------------
Fax | 970-255-6670
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2478 PATTERSON RD #1
-----------------------------------------------------
City | GRAND JUNCTION
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81505-1266
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-245-3338
-----------------------------------------------------
Fax | 970-245-9499
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213ES0103X
-----------------------------------------------------
Taxonomy Name | Foot & Ankle Surgery Podiatrist
-----------------------------------------------------
License Number | CO462
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------