Individual provider Active NPI

Kimberly A Snyder, APRN BC

  • Adult Health Nurse Practitioner
  • Richmond, IN
National Provider Identifier
1265416341
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71000483 Issued in IN
Practice address
1250 Chester Blvd
Suite 2
Richmond, IN 47374-1943
Phone
(765) 935-8581
Fax
(765) 935-1171
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71000483 IN Primary

Addresses

Primary practice location

1250 Chester Blvd
Suite 2
Richmond, IN 47374-1943

Mailing address

1100 Reid Pkwy
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 935-8581

Other identifiers 2

IdentifierTypeStateIssuer
000000833341OtherINANTHEM
200330170MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksnyder305950@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20051024000809 IN Practitioner - Nurse Practitioner 1153347646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
Cutting Edge Physical Therapy Limited PartnershipGroup PAC ID 6406869163, 109 clinicians

Practice addresses (Care Compare)

1100 Reid Pkwy
Richmond, IN 47374-1157

1350 Chester Blvd
Suite D
Richmond, IN 47374-1960
Phone (765) 935-8860

2390 National Rd W
Richmond, IN 47374-4625

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71000483INMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc CurrentSince Sep 1, 2013 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Sep 1, 2013 Accepting new patients

Locations

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1250 Chester Blvd
Ste 2
Richmond, IN 47374
Phone (765) 935-8581

1911 Chester Blvd
Richmond, IN 47374
Phone (765) 939-7711

1350 Chester Blvd
Ste D
Richmond, IN 47374
Phone (765) 935-8860

Interoperability endpoints

  • Direct secure messaging: ksnyder305950@reidhealth.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1265416341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-935-8581",
            "fax_number": "765-935-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 CHESTER BLVD",
            "address_2": "SUITE 2",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741943",
            "telephone_number": "765-935-8581",
            "fax_number": "765-935-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "APRN BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71000483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000833341",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200330170",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksnyder305950@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1250 Chester Blvd",
            "address_2": "Suite 2",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.