Provider Demographics
NPI:1619922036
Name:SCHNEIDER, TOBE LYNNE (APRN)
Entity type:Individual
Prefix:
First Name:TOBE
Middle Name:LYNNE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:TOBE
Other - Middle Name:LYNNE
Other - Last Name:STANDLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:800 MAIN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-2866
Mailing Address - Country:US
Mailing Address - Phone:620-221-8985
Mailing Address - Fax:620-221-8995
Practice Address - Street 1:800 MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-2866
Practice Address - Country:US
Practice Address - Phone:620-221-8985
Practice Address - Fax:620-221-8995
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS74579363LP0808X
KS53444521-012363LP0808X
KS53-74579-012363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100277960BMedicaid
KS100277960BMedicaid
KSS29850Medicare UPIN