Provider Demographics
NPI:1992842553
Name:SCHOPPA, CHERIE LYNN (CRNA)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:LYNN
Last Name:SCHOPPA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CHERIE
Other - Middle Name:LYNN
Other - Last Name:BENOIT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2411 FOUNTAIN VIEW DR STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4832
Mailing Address - Country:US
Mailing Address - Phone:713-620-4000
Mailing Address - Fax:
Practice Address - Street 1:2411 FOUNTAIN VIEW DR
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4817
Practice Address - Country:US
Practice Address - Phone:713-458-4185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53884367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154433001Medicaid
TX430073807OtherRAILROAD MEDICARE
82731UOtherTX-BLUE SHIELD
TX430073807OtherRAILROAD MEDICARE