KATHLEEN A SCHAFFER CNP
NPI 1962710228
Nurse Practitioner - Family in Fort Wayne, IN

Active since September 21, 2010
2200 RANDALLIA DR, FORT WAYNE, IN 46805(260) 266-2020(260) 266-2009 Get Directions Write a Review

NPPES record last updated: January 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen A Schaffer Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN A SCHAFFER CNP (NPI 1962710228) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71005311A) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1962710228
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN A SCHAFFERCredential: CNP
Location Address2200 RANDALLIA DRFort Wayne, IN 46805-4638
Mailing Address1234 E Dupont Rd, Suite 1Fort Wayne, IN 46825-1545 · (260) 266-2020 · Fax (260) 266-2009
Fax(260) 266-2009
Sole ProprietorNo
Enumeration DateSeptember 21, 2010
Last NPPES UpdateJanuary 19, 2015
NPI 1962710228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IN · 71005311A Licensed in OH · COA11467NP
2200 RANDALLIA DR, Fort Wayne, IN 46805

Other Identifiers 2

OtherSCNP37971OH · Medicare Ptan
Medicaid3138590OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Emergency Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Pediatrics (Neonatal-Perinatal Medicine)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Registered Nurse
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Student in an Organized Health Care Education/Training Program
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Nurse Practitioner
2200 RANDALLIA DR
FORT WAYNE, IN 46805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Schaffer's NPI number?

The NPI number for Kathleen Schaffer is 1962710228. It was assigned to this individual provider in the NPPES registry on September 21, 2010.

Where is Kathleen Schaffer located?

Kathleen Schaffer practices at 2200 Randallia Dr, Fort Wayne, IN 46805. The listed phone number is (260) 266-2020.

What is Kathleen Schaffer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kathleen Schaffer was last updated on January 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.