Individual provider Active NPI

Nancy E Snow, FNP-BC

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1114682580
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202112481NP-PP Issued in OR
Practice address
5933 NE Win Sivers Dr Ste 310
Portland, OR 97220-9106
Phone
(503) 420-5852
Fax
(844) 276-4208
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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 202112481NP-PP OR Primary

Addresses

Primary practice location

5933 NE Win Sivers Dr Ste 310
Portland, OR 97220-9106

Mailing address

5933 NE Win Sivers Dr Ste 310
Portland, OR 97220-9106
Phone (503) 420-5852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20220919001408 WA Practitioner - Nurse Practitioner 6305236589

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

890 River Rd
Eugene, OR 97404-3233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
202112481NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Connect of Oregon PC PastSince Nov 9, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nsnow@landmarkhealth-direct.org

Organizations & group practices 1

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1114682580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5933 NE WIN SIVERS DR STE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209106",
            "telephone_number": "503-420-5852",
            "fax_number": "844-276-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 NE WIN SIVERS DR STE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209106",
            "telephone_number": "503-420-5852",
            "fax_number": "844-276-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "NANCY",
        "middle_name": "E",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202112481NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.