Individual provider Active NPI

Jennifer L Snider, CRNA

  • Certified Registered Nurse Anesthetist
  • Eagle, ID
National Provider Identifier
1205845625
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA-896A Issued in ID
Practice address
2411 E Riverside Dr
Apt F201
Eagle, ID 83616
Phone
(509) 481-8295
Fax
(208) 523-8978
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP30007244 WA
Certified Registered Nurse Anesthetist 367500000X RNA-896A ID Primary

Addresses

Primary practice location

2411 E Riverside Dr
Apt F201
Eagle, ID 83616

Mailing address

2411 E Riverside Dr
Apt F201
Eagle, ID 83616-7545
Phone (509) 481-8295

Other identifiers 1

IdentifierTypeStateIssuer
1053714717MedicaidID

Other names 1

  • Jennifer L Herther Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140624001014 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012922818 Reassigns benefits to 1 organization
Practice locations: Boise, ID; Meridian, ID

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Access Anesthesia LLCGroup PAC ID 5193019230, 3 clinicians

Practice addresses (Care Compare)

3630 E Louise Dr
Meridian, ID 83642-7975
Phone (208) 377-9515

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Anesthesiologists Colorado LLC Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Physician Anesthesia Assoc Inc PS Anesthesiology PastSince Nov 21, 2016 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1205845625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 E RIVERSIDE DR",
            "address_2": "APT F201",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167545",
            "telephone_number": "509-481-8295",
            "fax_number": "208-523-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 E RIVERSIDE DR",
            "address_2": "APT F201",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "83616",
            "telephone_number": "509-481-8295",
            "fax_number": "208-523-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30007244",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-896A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053714717",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HERTHER",
            "middle_name": "L",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.