Active NPI
Paul Jay Snyder, FNP
- Family Nurse Practitioner
- Scottsdale, AZ
National Provider Identifier
1245293588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP1850
- Practice address
- 20745 N Scottsdale Rd
Scottsdale, AZ 85255-6453 - Phone
- (480) 419-8572
- Fax
- (480) 513-0517
- NPI assigned
- Apr 8, 2006
- Last updated
- Dec 7, 2007
- Sex
- Male
- 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 | AP1850 | AZ | Primary |
Addresses
Primary practice location
20745 N Scottsdale Rd
Scottsdale, AZ 85255-6453
Mailing address
4378 E Austin LN
Queen Creek, AZ 85240-4389
Phone (602) 512-4880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 916405 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RHG of Arizona, PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1013744218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1245293588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4378 E AUSTIN LN",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "852404389",
"telephone_number": "602-512-4880",
"fax_number": "623-321-1736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20745 N SCOTTSDALE RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852556453",
"telephone_number": "480-419-8572",
"fax_number": "480-513-0517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "PAUL",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2007-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP1850",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "916405",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.