MEDICARE: VANESSA MICHELE SCHMIDT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	2017039559	MO
2	2084P0804X	Child & Adolescent Psychiatry Physician	2017039559	MO

General Provider Information

NPI Number	:	1629418165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA MICHELE SCHMIDT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 843966
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64184-3966
Country	:	US
Telephone Number	:	573-884-3300
Fax Number	:	573-884-0943

Provider Business Practice Location Address
First Line	:	1000 W NIFONG BLVD
Second Line	:	BLDG 7, STE 300
City	:	COLUMBIA
State	:	MO
Zip	:	65203-5615
Country	:	US
Telephone Number	:	573-884-1130
Fax Number	:	573-884-5936

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2013
Last Update Date	:	06/24/2024

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Directions to “ VANESSA MICHELE SCHMIDT M.D.” Practice Location

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