Active NPI
Danielle W Snodgrass, RRA
- Radiology Practitioner Assistant
- Defuniak Springs, FL
National Provider Identifier
1124356647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- License
- RA77
- Practice address
- 119 Fish Or Cut Bait Rd
Defuniak Springs, FL 32433-4630 - Phone
- (706) 298-9434
- NPI assigned
- Nov 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Practitioner Assistant | 243U00000X | 2510 | ND | |
| Radiology Practitioner Assistant | 243U00000X | RTS-RT-LIC-25944 | MT | |
| Radiography Radiologic Technologist | 2471C3402X | 321611 | ||
| Radiology Practitioner Assistant | 243U00000X | RA77 | FL | Primary |
Addresses
Primary practice location
119 Fish Or Cut Bait Rd
Defuniak Springs, FL 32433-4630
Mailing address
119 Fish Or Cut Bait Rd
Defuniak Springs, FL 32433-4630
Phone (706) 298-9434
Other practice location 1
500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455
Other practice location 2
300 N 7th St
Bismarck, ND 58501-4439
Phone (701) 323-6000
Other practice location 3
1233 N 30th St
Billings, MT 59101-0127
Phone (406) 657-7000
Other practice location 4
7800 US Highway 98 W
Miramar Beach, FL 32550-7228
Phone (850) 278-3000
Other names 1
- Dannie W Snodgrass
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
| License | State | Type | Specialty |
|---|---|---|---|
| RA77 | FL | MD | Radiology Practitioner Assistant |
| RTS-RT-LIC-25944 | MT | MD | Radiology Practitioner Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731715200000",
"number": "1124356647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 FISH OR CUT BAIT RD",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "324334630",
"telephone_number": "706-298-9434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 FISH OR CUT BAIT RD",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "324334630",
"telephone_number": "706-298-9434"
}
],
"practiceLocations": [
{
"address_1": "500 University Dr",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332360",
"country_code": "US",
"telephone_number": "800-243-1455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 N 7th St",
"address_purpose": "LOCATION",
"city": "Bismarck",
"state": "ND",
"postal_code": "585014439",
"country_code": "US",
"telephone_number": "701-323-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1233 N 30th St",
"address_purpose": "LOCATION",
"city": "Billings",
"state": "MT",
"postal_code": "591010127",
"country_code": "US",
"telephone_number": "406-657-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7800 US Highway 98 W",
"address_purpose": "LOCATION",
"city": "Miramar Beach",
"state": "FL",
"postal_code": "325507228",
"country_code": "US",
"telephone_number": "850-278-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNODGRASS",
"first_name": "DANIELLE",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "RRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-20",
"last_updated": "2024-11-16",
"certification_date": "2024-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": "ND",
"license": "2510",
"primary": false
},
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": "MT",
"license": "RTS-RT-LIC-25944",
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": null,
"license": "321611",
"primary": false
},
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": "FL",
"license": "RA77",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANNIE",
"last_name": "SNODGRASS",
"middle_name": "W",
"credential": "RRA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Defuniak Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.