Individual provider Active NPI

Daniel T Snyder, FNP-C

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1205240041
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18779 Issued in TN
Practice address
1717 W Massey Rd
Memphis, TN 38120-4206
Phone
(901) 685-8245
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18779 TN Primary

Addresses

Primary practice location

1717 W Massey Rd
Memphis, TN 38120-4206

Mailing address

965 Ridge Lake Blvd
Memphis, TN 38120-9401
Phone (901) 227-4692

Other practice location 1

8040 Wolf River Blvd Ste 200
Germantown, TN 38138-1775
Phone (901) 726-0200

Other practice location 2

7715 Wolf River Blvd
Germantown, TN 38138-1706
Phone (901) 328-6031

Other practice location 3

1520 Union Ave
Memphis, TN 38104-3700
Phone (901) 276-2410

Other practice location 4

7205 Wolf River Blvd Ste 100
Germantown, TN 38138-1758
Phone (901) 684-1322

Other practice location 5

8970 Winchester Rd
Memphis, TN 38125-8231
Phone (901) 794-5806

Other practice location 6

6025 Walnut Grove Rd Ste 627
Memphis, TN 38120-2126
Phone (901) 767-3321

Other practice location 7

1500 W Poplar Ave Ste 202
Collierville, TN 38017-0601
Phone (901) 861-9090

Other practice location 8

790 W Poplar Ave Ste 1
Collierville, TN 38017-2544
Phone (901) 853-9700

Other practice location 9

8040 Wolf River Blvd Ste 102
Germantown, TN 38138-1773
Phone (901) 227-7900

Other practice location 10

2100 Exeter Rd
Germantown, TN 38138-3966
Phone (901) 757-1350

Other practice location 11

8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606

Other practice location 12

8040 Wolf River Blvd Ste 103
Germantown, TN 38138-1773
Phone (901) 725-8606

Other practice location 13

1995 Highway 51 S Ste 204
Covington, TN 38019-3655
Phone (901) 475-5305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20140904001855 TN Practitioner - Nurse Practitioner 5193943165 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8040 Wolf River Blvd
Suite 102
Germantown, TN 38138-1773
Phone (901) 227-7900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC CurrentSince Sep 1, 2021 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients
Southeastern Emergency Services P C CurrentSince Oct 1, 2016 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

790 W Poplar Ave
Ste 1
Collierville, TN 38017
Phone (901) 853-9700

1500 W Poplar Ave
Ste 202
Collierville, TN 38017
Phone (901) 861-5111

8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606

1995 Highway 51 S
Ste 204
Covington, TN 38019
Phone (901) 475-5305

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1900 N Winston Rd
Ste 300
Knoxville, TN 37919
Phone (865) 271-6000

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

8040 Wolf River Blvd
Ste 102
Memphis, TN 38138
Phone (901) 227-7900

6025 Walnut Grove Rd
Ste 627
Memphis, TN 38120
Phone (901) 763-1695

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

965 Ridge Lake Blvd
Memphis, TN 38120

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

7205 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 507-9466

8040 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 726-0200

7715 Wolf River Blvd
Memphis, TN 38138
Phone (901) 328-6031

1717 W Massey Rd
Memphis, TN 38120
Phone (901) 227-2550

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1205240041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "901-227-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W MASSEY RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204206",
            "telephone_number": "901-685-8245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8040 Wolf River Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381775",
            "country_code": "US",
            "telephone_number": "901-726-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7715 Wolf River Blvd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381706",
            "country_code": "US",
            "telephone_number": "901-328-6031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381043700",
            "country_code": "US",
            "telephone_number": "901-276-2410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7205 Wolf River Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381758",
            "country_code": "US",
            "telephone_number": "901-684-1322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8970 Winchester Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381258231",
            "country_code": "US",
            "telephone_number": "901-794-5806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6025 Walnut Grove Rd Ste 627",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202126",
            "country_code": "US",
            "telephone_number": "901-767-3321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W Poplar Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380170601",
            "country_code": "US",
            "telephone_number": "901-861-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 W Poplar Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380172544",
            "country_code": "US",
            "telephone_number": "901-853-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8040 Wolf River Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381773",
            "country_code": "US",
            "telephone_number": "901-227-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Exeter Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383966",
            "country_code": "US",
            "telephone_number": "901-757-1350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8138 Country Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380162029",
            "country_code": "US",
            "telephone_number": "901-725-8606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8040 Wolf River Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381773",
            "country_code": "US",
            "telephone_number": "901-725-8606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1995 Highway 51 S Ste 204",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "TN",
            "postal_code": "380193655",
            "country_code": "US",
            "telephone_number": "901-475-5305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "DANIEL",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.