Provider Demographics
NPI:1073910428
Name:SCHMIDT, SCOTT CAMERON (DNP, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:CAMERON
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 S ROSLYN ST STE 460
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2148
Mailing Address - Country:US
Mailing Address - Phone:720-735-7649
Mailing Address - Fax:
Practice Address - Street 1:5350 S ROSLYN ST STE 460
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2148
Practice Address - Country:US
Practice Address - Phone:720-735-7649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-01
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX864323163W00000X
TXAP127135363LP0808X
COAPN.0993529363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse