Individual provider Active NPI

Clare Dixon Snow, REGISTERED NURSE

  • Administrator Registered Nurse
  • Fort Irwin, CA
National Provider Identifier
1114982980
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
482297 Issued in NY
Practice address
166 Fourth Street and Inner Loop Rd
Room 412
Fort Irwin, CA 92310-5109
Phone
(760) 380-2553
Fax
(760) 380-2122
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 482297 NY Primary

Addresses

Primary practice location

166 Fourth Street and Inner Loop Rd
Room 412
Fort Irwin, CA 92310-5109

Mailing address

PO Box 105109
Fort Irwin, CA 92310-5109
Phone (760) 380-2553

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

LicenseStateTypeSpecialty
482297NYMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1114982980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105109",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923105109",
            "telephone_number": "760-380-2553",
            "fax_number": "760-380-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 FOURTH STREET AND INNER LOOP RD",
            "address_2": "ROOM 412",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923105109",
            "telephone_number": "760-380-2553",
            "fax_number": "760-380-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "CLARE",
        "middle_name": "DIXON",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "482297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Irwin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.