Individual provider Active NPI

Caroline Snelwar, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1225650484
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007029 Issued in FL
Practice address
1539 Parental Home Rd
Jacksonville, FL 32216-3009
Phone
(904) 290-6028
NPI assigned
May 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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 11007029 FL Primary

Addresses

Primary practice location

1539 Parental Home Rd
Jacksonville, FL 32216-3009

Mailing address

231 Spring Creek Way
St Augustine, FL 32095-8969
Phone (904) 707-6606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20211210002164 FL Practitioner - Nurse Practitioner 4688064314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11007029FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William Nields, PLLC Family Medicine CurrentSince Nov 12, 2021 Accepting new patients

Locations

1539 Parental Home Rd
#5
Jacksonville, FL 32216
Phone (904) 290-6028

1539 Parental Home Rd
Jacksonville, FL 32216
Phone (904) 290-6028

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": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1225650484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SPRING CREEK WAY",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958969",
            "telephone_number": "904-707-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 PARENTAL HOME RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163009",
            "telephone_number": "904-290-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELWAR",
        "first_name": "CAROLINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.