Kerrie Jo Snyder, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001226 Issued in WV

Practice address

1502 Harrison Ave
Elkins, WV 26241-3497

Phone

(304) 637-4509

Fax

(304) 636-5319

NPI assigned

Dec 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1404/brand/1/csg/1/fhir/r4

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.

• Tygart Valley Orthopedics and Sports Medicine, Inc.

  • Specialist
  • Elkins, WV
  • NPI 1659391472
  NPD

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1255090197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 HARRISON AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413497",
            "telephone_number": "304-637-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 HARRISON AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413497",
            "telephone_number": "304-637-4509",
            "fax_number": "304-636-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "KERRIE",
        "middle_name": "JO",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WV",
            "license": "AT001226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Smith
• Staci N Smith
• Wendy S Smith
• Tammy Smithley
• Bridget Lynnette Snider
• Roxie Snyder
• Timothy William Sotosky, PHARMD
• Kyle Thomas Sowder
• Jason Sparks
• Dorothy L Spessert

• Athletic Trainer in Elkins, WV
• Providers in Elkins, WV by specialty
• Athletic Trainer in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.