Bryan Thomas Snipe, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

F432580-01 Issued in NY

Practice address

16040 78TH Rd
Fresh Meadows, NY 11366-1969

Phone

(347) 776-1617

NPI assigned

Sep 7, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1013793603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6738C 190TH LN APT 2A",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653733",
            "telephone_number": "347-776-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 78TH RD",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661969",
            "telephone_number": "347-776-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIPE",
        "first_name": "BRYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F432580-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Oneka Smith, MA
• Scott Adam Smith
• Shirley Smith, LCSW
• Alyosha Smolarski, MD
• Stephanie Smoller
• Mavis Veronica Solomon
• Jae Keun Song
• Yevgeniya Sosonova
• Dora I Sourelos, MAPT
• Kwan Southerland, LPN

• Acute Care Nurse Practitioner in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.