Carolyn Allisa Snyder, R.D., L.D.
Individual provider Active NPI Registered Dietitian · Kirksville, MO
NPI 1124355136 · NPPES record last updated Dec 6, 2023
Key facts
- NPI
- 1124355136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2013014801 (MO)
- Practice address
- 701 S Bradford St
None
Kirksville, MO 63501-5403 - Phone
- (785) 317-5440
- Fax
- (660) 730-5042
- NPI assigned
- Nov 11, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Missouri Health Council Inc
Practice addresses (Care Compare)
PO Box
Suite 1027
Kirksville, MO 63501
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160802002495 | MO | Practitioner - Registered Dietitian Or Nutrition Professional | 3577857325 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1376 | KS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Missouri Health Council, Inc | Current |
Accepting new patients | |
| Northeast Missouri Health Council, Inc. | Current |
Accepting new patients | |
| Northeast Missouri Health Council, Inc. | Current | Accepting new patients | |
| Northeast Missouri Health Council Inc | Current |
Accepting new patients | |
| Northeast Missouri Health Council Inc | Current |
Accepting new patients |
Locations
104 E Jackson St
Edina, MO 63537
Phone (660) 397-3517
1416 Crown Dr
Kirksville, MO 63501
Phone (660) 627-4493
1506 Crown Dr
Kirksville, MO 63501
Phone (660) 627-4493
402 W Jefferson St
Kirksville, MO 63501
Phone (660) 665-2741
209 N Missouri St
Macon, MO 63552
Phone (660) 385-4999
118 E Grand Ave
Memphis, MO 63555
Phone (660) 465-7522
52334 Business Highway 5
Milan, MO 63556
Phone (660) 265-1042
Interoperability endpoints
- carolyn.snyder.p1@direct.nmhcinc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1376 | KS | |
| Registered Dietitian | 133V00000X | 2013014801 | MO | Yes |
Addresses
Primary practice location
701 S Bradford St
None
Kirksville, MO 63501-5403
Mailing address
701 S Bradford St
None
Kirksville, MO 63501-5403
Phone (785) 317-5440
Other providers in Kirksville, MO
- Christine Snelling
- Eric J Snider
- Karen T Snider
- Krista K Snow
- Heidi M. Snowbarger
- Karlie Ann Snyder
- Sherre A Snyder
- Brandon Jeremy Sorhus
- Sparks Clinic P.C.
- John Robert Sparks
All providers in Kirksville, MO · Registered Dietitian in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.