Active NPI
Nicole Snyder, NP
- Family Nurse Practitioner
- Columbus, OH
National Provider Identifier
1063719045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN.349335-COA1
- 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
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 |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.349335-COA1 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Ohio State Pain Management Center,LLC | Past | Accepting new patients | |
| Prospectively Healthy LLC | Past | Accepting new patients | |
| My Catholic Doctor, P.L.L.C. | Past | Accepting new patients | |
| Abundance of Life Chiropractic, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Pain Medicine (Anesthesiology) Physician
- Columbus, OH
- NPI 1568497774
-
- Chiropractor
- Hays, KS
- NPI 1811859192
-
- Pediatrics Physician
- New Canaan, CT
- NPI 1396201307
-
- Health Educator
- Hays, KS
- NPI 1386340818
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.