Provider Demographics
NPI:1558618348
Name:SCHUMAKER, ANNE MARIE (ACNP)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:MARIE
Last Name:SCHUMAKER
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:MARIE
Other - Last Name:APPLEGATE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1301 W 38TH ST STE 514
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1014
Mailing Address - Country:US
Mailing Address - Phone:512-681-0500
Mailing Address - Fax:512-681-0501
Practice Address - Street 1:1301 W 38TH ST STE 514
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1014
Practice Address - Country:US
Practice Address - Phone:512-681-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX856689163W00000X
MI4704260069163W00000X, 363LA2100X
TXAP125925363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4704260069Medicaid
MI4704260069Medicare PIN
MI4704260069Medicaid