Individual provider Active NPI

Nicole Snyder, NP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1063719045
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN.349335-COA1 Issued in OH
Practice address
3400 Olentangy River Rd
Suite 100
Columbus, OH 43202-1576
Phone
(614) 262-7426
Fax
(614) 262-4699
NPI assigned
Feb 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN.349335-COA1 OH Primary

Addresses

Primary practice location

3400 Olentangy River Rd
Suite 100
Columbus, OH 43202-1576

Mailing address

1180 Newfield Ave
Stamford, CT 06905-1409

Other practice location 1

824 S Broadleigh Rd
Columbus, OH 43209
Phone (314) 888-5233

Other practice location 2

209 W 12th St
Hays, KS 67601
Phone (785) 955-9228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2016 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.349335-COA1OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ohio State Pain Management Center,LLC Past Accepting new patients
Prospectively Healthy LLC PastSince Apr 21, 2024 Accepting new patients
My Catholic Doctor, P.L.L.C. Past Accepting new patients
Abundance of Life Chiropractic, LLC PastSince Nov 30, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2038/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1063719045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 NEWFIELD AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLENTANGY RIVER RD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021576",
            "telephone_number": "614-262-7426",
            "fax_number": "614-262-4699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "824 S Broadleigh Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43209",
            "country_code": "US",
            "telephone_number": "314-888-5233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 W 12th St",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "67601",
            "country_code": "US",
            "telephone_number": "785-955-9228",
            "fax_number": "860-239-8243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.349335-COA1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.