Individual provider Active NPI

Jeanne Rae Snyder, MS, CCC/SLP

  • Speech-Language Pathologist
  • Seymour, TX
National Provider Identifier
1235658691
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12578 Issued in TX
Practice address
1136 W California St
Seymour, TX 76380-1553
Phone
(940) 889-3862
NPI assigned
Sep 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12578 TX Primary

Addresses

Primary practice location

1136 W California St
Seymour, TX 76380-1553

Mailing address

1136 W California St
Seymour, TX 76380-1553
Phone (940) 889-3862

Other practice location 1

600 N Main St
Seymour, TX 76380-1730
Phone (940) 889-3755

Other practice location 2

1000 Brook Ave
Wichita Falls, TX 76301-5007
Phone (940) 696-6201

Other practice location 3

1000 Brook Ave
Wichita Falls, TX 76301-5007
Phone (940) 696-6201

Other practice location 4

1136 W California St
Seymour, TX 76380-1553
Phone (940) 889-3862

Other practice location 5

600 N Main St
Seymour, TX 76380-1730
Phone (940) 889-3755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12578TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor County Hospital District Past Accepting new patients
Baylor County Hospital District Past Accepting new patients

Organizations & group practices 2

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": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1235658691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 W CALIFORNIA ST",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763801553",
            "telephone_number": "940-889-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 W CALIFORNIA ST",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763801553",
            "telephone_number": "940-889-3862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Main St",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "TX",
            "postal_code": "763801730",
            "country_code": "US",
            "telephone_number": "940-889-3755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Brook Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763015007",
            "country_code": "US",
            "telephone_number": "940-696-6201",
            "fax_number": "940-696-6210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Brook Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763015007",
            "country_code": "US",
            "telephone_number": "940-696-6201",
            "fax_number": "940-696-6210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1136 W California St",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "TX",
            "postal_code": "763801553",
            "country_code": "US",
            "telephone_number": "940-889-3862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Main St",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "TX",
            "postal_code": "763801730",
            "country_code": "US",
            "telephone_number": "940-889-3755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JEANNE",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "12578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.