Active NPI
Caroline Snelwar, ARNP
- Family Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1225650484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11007029
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211210002164 | FL | Practitioner - Nurse Practitioner | 4688064314 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11007029 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Nields, PLLC | Family Medicine | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.