Jeffrey Thomas Snyder, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704257165NSA180V3 Issued in MI

Practice address

1455 S Lapeer Rd Ste 102
Lake Orion, MI 48360-1468

Phone

(248) 232-0100

NPI assigned

Oct 15, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Burton Urgent Care PLLCGroup PAC ID 0345569406, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Burton Urgent Care PLLC

  • General Practice Physician
  • Burton, MI
  • NPI 1790174076
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1114493384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 REGENCY DR",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483591173",
            "telephone_number": "734-678-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S LAPEER RD STE 102",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601468",
            "telephone_number": "248-232-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JEFFREY",
        "middle_name": "THOMAS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704257165NSA180V3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery David Smith, OTRL
• Luanne Marie Smith, LLPC
• Robert William Smith
• Sara Elizabeth Smith
• Audra L Snowden, MED, MA, LPC, NCC
• Malgorzata Sobilo, MD
• Natasha Nicole Sornson-Herr
• Gerardo Sosa
• Southwest Florida Anesthesia Professionals LLC
• Jennifer Sroka, M.A.

• Family Nurse Practitioner in Lake Orion, MI
• Providers in Lake Orion, 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 Oct 15, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.