Active NPI
Mary Snyder
- Psychiatric/Mental Health Registered Nurse
- Olympia, WA
National Provider Identifier
1073229019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN60577423
- Practice address
- 3436 Mary Elder Rd NE
Olympia, WA 98506-5050 - Phone
- (360) 984-0190
- NPI assigned
- Jan 24, 2023
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN60577423 | WA | Primary |
Addresses
Primary practice location
3436 Mary Elder Rd NE
Olympia, WA 98506-5050
Mailing address
3436 Mary Elder Rd NE
Olympia, WA 98506-5050
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mesnyder@telecarecorp.com |
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 |
|---|---|---|---|
| RN60577423 | WA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1073229019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3436 MARY ELDER RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3436 MARY ELDER RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065050",
"telephone_number": "360-984-0190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-24",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "WA",
"license": "RN60577423",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mesnyder@telecarecorp.com",
"affiliation": "N",
"endpointDescription": "work email",
"address_1": "3436 Mary Elder Rd NE",
"city": "Olympia",
"state": "WA",
"country_code": "US",
"postal_code": "985065050",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.