Individual provider Active NPI

Stefanie Snyder, R.N., CRNP

  • Family Nurse Practitioner
  • Scottdale, PA
National Provider Identifier
1184902298
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SPO11503 Issued in PA
Practice address
109 Crossroads Rd
Suite 201
Scottdale, PA 15683-2458
Phone
(724) 887-3161
Fax
(724) 887-3548
NPI assigned
Jul 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN602401 PA
Family Nurse Practitioner 363LF0000X SPO11503 PA Primary

Addresses

Primary practice location

109 Crossroads Rd
Suite 201
Scottdale, PA 15683-2458

Mailing address

109 Crossroads Rd
Suite 201
Scottdale, PA 15683-2458
Phone (724) 887-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120216000075 PA Practitioner - Nurse Practitioner 3577721802 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN602401PAMDRegistered Nurse
SPO11503PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jun 26, 2016 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 4, 2014 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 4, 2014 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jun 26, 2016 Accepting new patients

Locations

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

4145 William Penn Hwy
Monroeville, PA 15146
Phone (412) 516-9134

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Organizations & group practices 6

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": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1184902298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CROSSROADS RD",
            "address_2": "SUITE 201",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832458",
            "telephone_number": "724-887-3161",
            "fax_number": "724-887-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CROSSROADS RD",
            "address_2": "SUITE 201",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832458",
            "telephone_number": "724-887-3161",
            "fax_number": "724-887-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "STEFANIE",
        "credential": "R.N., CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN602401",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SPO11503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottdale, PA

Sources for this page

Verify at the official NPI Registry.