Provider Demographics
NPI:1902658552
Name:SCHOONOVER, KRISTA K (FPMHNP)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:K
Last Name:SCHOONOVER
Suffix:
Gender:F
Credentials:FPMHNP
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:K
Other - Last Name:KLINGSMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:900 E LAHARPE ST
Mailing Address - Street 2:
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-4520
Mailing Address - Country:US
Mailing Address - Phone:660-665-1962
Mailing Address - Fax:
Practice Address - Street 1:2015 S HALLIBURTON ST
Practice Address - Street 2:
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-4646
Practice Address - Country:US
Practice Address - Phone:660-626-0698
Practice Address - Fax:660-626-5872
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024012741363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty