Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 2084N0400X | Psychiatry & Neurology | Neurology | | | No |
| 2 | 2084P2900X | Psychiatry & Neurology | Pain Medicine | | | No |
| 3 | 208VP0000X | Pain Medicine | Pain Medicine | | | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1730145285 | OTHER | | INDIVIDUAL NPI FOR DR. JOHN SCHNEIDER |
| 2 | 10370G1506 | OTHER | | MEDICARE GROUP PTAN |
| 3 | 1538414305 | OTHER | | INDIVIDUAL NPI FOR MONICA SATTERWHITE, NP |
| 4 | 1104365964 | OTHER | | INDIVIDUAL NPI FOR AMANDA MASON, NP |
| 5 | 1215273917 | OTHER | | INDIVIDIAL NPI FOR DANA CARTER, NP |
| 6 | 44D2029262 | OTHER | | CLIA WAIVER # |
| 7 | 1525675 | MEDICAID | TENNESSEE | |
| 8 | 1619217106 | OTHER | | INDIVIDUAL NPI FOR MEGAN CHILDERS, NP |
| 9 | 1013245588 | OTHER | | INDIVIDUAL NPI FOR MISTIE GERMEK, PHD |
| 10 | 19321240951 | OTHER | | INDIVIDUAL NPI FOR JOHANNA JIRIKOVEC, NP |
| 11 | 1588944532 | OTHER | | GROUP NPI |