Carolyn Allisa Snyder, R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2013014801 Issued in 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

Last updated

Dec 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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 IncGroup PAC ID 1658280805, shared by 9 NPIs, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carolyn.snyder.p1@direct.nmhcinc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Missouri Health Council, Inc.

  dba Northeast Family Health Clinics

  • Federally Qualified Health Center (FQHC)
  • Kirksville, MO
  • NPI 1104829498
  Medicare reassignment NPD
• Northeast Missouri Health Council, Inc.

  dba Northeast Missouri Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Edina, MO
  • NPI 1881730893
  Medicare reassignment NPD
• Northeast Missouri Health Council Inc

  dba Northeast Missouri Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Milan, MO
  • NPI 1144366154
  NPD
• Northeast Missouri Health Council Inc

  dba Memphis Community Health Center

  • Internal Medicine Physician
  • Memphis, MO
  • NPI 1881307155
  NPD
• Northeast Missouri Health Council, Inc

  dba Preferred Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Kirksville, MO
  • NPI 1952798530
  NPD

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1124355136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S BRADFORD ST",
            "address_2": "NONE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015403",
            "telephone_number": "785-317-5440",
            "fax_number": "660-730-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S BRADFORD ST",
            "address_2": "NONE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015403",
            "telephone_number": "785-317-5440",
            "fax_number": "660-730-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "CAROLYN",
        "middle_name": "ALLISA",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "1376",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2013014801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Snelling, LCSW
• Eric J Snider, D.O.
• Karen T Snider, D.O.
• Krista K Snow, M.S.
• Heidi M. Snowbarger, PTA
• Karlie Ann Snyder
• Sherre A Snyder, LPN
• Brandon Jeremy Sorhus
• Sparks Clinic P.C.
• John Robert Sparks, DO

• Registered Dietitian in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.