Provider Demographics
NPI:1477349215
Name:BURDETT, ALEXIS BRIANNA SCHMIT
Entity type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:BRIANNA SCHMIT
Last Name:BURDETT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31108 DANDER LN
Mailing Address - Street 2:
Mailing Address - City:GENOA
Mailing Address - State:IL
Mailing Address - Zip Code:60135-8062
Mailing Address - Country:US
Mailing Address - Phone:815-766-1798
Mailing Address - Fax:
Practice Address - Street 1:155 N 3RD ST FL 5
Practice Address - Street 2:
Practice Address - City:DEKALB
Practice Address - State:IL
Practice Address - Zip Code:60115-3366
Practice Address - Country:US
Practice Address - Phone:815-418-2476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula