Provider Demographics
NPI:1093255648
Name:SCHMIDT, COTY (NP)
Entity type:Individual
Prefix:
First Name:COTY
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 W MAIN ST # 228
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-3122
Mailing Address - Country:US
Mailing Address - Phone:615-632-3331
Mailing Address - Fax:615-249-8989
Practice Address - Street 1:2805 AZALEA PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3117
Practice Address - Country:US
Practice Address - Phone:615-632-3331
Practice Address - Fax:615-249-8989
Is Sole Proprietor?:No
Enumeration Date:2017-03-01
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN218015163WE0003X
TN22464363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency