Individual provider Active NPI

Gretchen Ranee Lewis-Snyder, L.P

  • Psychologist
  • Minnetonka, MN
National Provider Identifier
1174714851
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP4976 Issued in MN
Practice address
11900 Wayzata Blvd
Suite 216E
Minnetonka, MN 55305-2031
Phone
(612) 719-5422
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP4976 MN Primary

Addresses

Primary practice location

11900 Wayzata Blvd
Suite 216E
Minnetonka, MN 55305-2031

Mailing address

11900 Wayzata Blvd
Minnetonka, MN 55305-2031
Phone (612) 719-5422

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
LP4976MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom Whole Family Therapy & Child Psychology Center, PLLC Current Accepting new patients

Locations

11900 Wayzata Blvd
Ste 216E
Minnetonka, MN 55305
Phone (612) 719-5422

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1174714851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 WAYZATA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052031",
            "telephone_number": "612-719-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 WAYZATA BLVD",
            "address_2": "SUITE 216E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052031",
            "telephone_number": "612-719-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-SNYDER",
        "first_name": "GRETCHEN",
        "middle_name": "RANEE",
        "name_prefix": "Dr.",
        "credential": "L.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.