Active NPI
Judy Snyder
- Community Health Worker
- Stow, OH
National Provider Identifier
1043769631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 401799511015
- Practice address
- 4481 Cox Dr
Stow, OH 44224-1471 - Phone
- (419) 438-0368
- NPI assigned
- Sep 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 401799511015 | OH | Primary |
Addresses
Primary practice location
4481 Cox Dr
Stow, OH 44224-1471
Mailing address
4481 Cox Dr
Stow, OH 44224-1471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401799511015 | OH | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474675200000",
"number": "1043769631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4481 COX DR",
"city": "STOW",
"state": "OH",
"postal_code": "442241471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4481 COX DR",
"city": "STOW",
"state": "OH",
"postal_code": "442241471",
"telephone_number": "419-438-0368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "JUDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-24",
"last_updated": "2016-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OH",
"license": "401799511015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.