Kimberly Colleen Snowdon, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704241334 Issued in MI

Practice address

Thimg Primary Care - Southeast Livonia
29370 Plymouth Rd Ste 100
Plymouth, MI 48150

Phone

(734) 655-8200

Fax

(734) 655-8210

NPI assigned

Jul 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.snowdon@stjoeshealth.org
• Direct secure messaging: ksnowdon33028@direct.trinity-health.org

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.

• Iha Olma Primary Care Risk LLC

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1578162319
  NPD
• Onsight, Inc.

  • Podiatrist
  • East Lansing, MI
  • NPI 1821248568
  NPD (past)
• Giaimo Mobile Podiatry of WV PLLC

  • Podiatrist
  • Charleston, WV
  • NPI 1386183473
  NPD (past)

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1053938100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "SUITE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THIMG PRIMARY CARE - SOUTHEAST LIVONIA",
            "address_2": "29370 PLYMOUTH RD STE 100",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "48150",
            "telephone_number": "734-655-8200",
            "fax_number": "734-655-8210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38871 Meeting House Ln",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541104",
            "country_code": "US",
            "telephone_number": "734-578-6508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNOWDON",
        "first_name": "KIMBERLY",
        "middle_name": "COLLEEN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2023-08-09",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704241334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kimberly.snowdon@stjoeshealth.org",
            "affiliation": "N",
            "endpointDescription": "Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "38871 Meeting House Ln",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481541104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Spencer Smith
• Kenneth Wilkinson Smythe, MD
• Hope Snapp
• Frank Edward Sniezek, DC
• Melissa Snover
• Tavia Snyder
• Kasie Sobczak
• Richard A Sobczak
• Breeana Sobieski, LMSW
• Michael Sobieski II, CCP

• Family Nurse Practitioner in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.