Individual provider Active NPI

Danielle W Snodgrass, RRA

  • Radiology Practitioner Assistant
  • Defuniak Springs, FL
National Provider Identifier
1124356647
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
License
RA77 Issued in FL
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

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
RA77FLMDRadiology Practitioner Assistant
RTS-RT-LIC-25944MTMDRadiology 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.

Verify at the official NPI Registry.