Individual provider Active NPI

Isaac Snagg

  • Licensed Practical Nurse
  • Spring Valley, NY
National Provider Identifier
1316472152
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
308578 Issued in NY
Practice address
670 New Hempstead Rd
Spring Valley, NY 10977-1739
Phone
(845) 624-9328
NPI assigned
May 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 308578 NY Primary

Addresses

Primary practice location

670 New Hempstead Rd
Spring Valley, NY 10977-1739

Mailing address

670 New Hempstead Rd
Spring Valley, NY 10977-1739
Phone (845) 624-9328

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

State licenses

LicenseStateTypeSpecialty
308578NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1316472152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 NEW HEMPSTEAD RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771739",
            "telephone_number": "845-624-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 NEW HEMPSTEAD RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771739",
            "telephone_number": "845-624-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNAGG",
        "first_name": "ISAAC",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "308578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.