Individual provider Active NPI

Teresa M. Snyder, NP

  • Adult Health Nurse Practitioner
  • Tonawanda, NY
National Provider Identifier
1033513411
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
306892 Issued in NY
Practice address
1430 Colvin Blvd
Tonawanda, NY 14223-1440
Phone
(716) 874-4060
NPI assigned
Oct 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 306892 NY Primary

Addresses

Primary practice location

1430 Colvin Blvd
Tonawanda, NY 14223-1440

Mailing address

6091 Meadow Lakes Dr
East Amherst, NY 14051-2005
Phone (716) 741-3280

Other practice location 1

6091 Meadow Lakes Dr
East Amherst, NY 14051-2005
Phone (716) 741-3280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150331002728 NY Practitioner - Nurse Practitioner 2860719812 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Memorial Medical Center CurrentSince May 16, 2017 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince May 16, 2017 Accepting new patients
Academic Medicine Services, Inc. Past Accepting new patients
University at Buffalo Surgeons Inc Past Accepting new patients

Locations

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1033513411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6091 MEADOW LAKES DR",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512005",
            "telephone_number": "716-741-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 COLVIN BLVD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142231440",
            "telephone_number": "716-874-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6091 Meadow Lakes Dr",
            "address_purpose": "LOCATION",
            "city": "East Amherst",
            "state": "NY",
            "postal_code": "140512005",
            "country_code": "US",
            "telephone_number": "716-741-3280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "TERESA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.