Individual provider Active NPI

Emily Snyder

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1336772474
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11005934 Issued in FL
Practice address
4513 Executive Dr
Naples, FL 34119-9033
Phone
(239) 248-7819
NPI assigned
Feb 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11005934 FL
Family Medicine Physician 207Q00000X APRN11005934 FL Primary

Addresses

Primary practice location

4513 Executive Dr
Naples, FL 34119-9033

Mailing address

PO Box 110820
Naples, FL 34108-0114
Phone (239) 591-2803

Other practice location 1

661 Goodlette Frank Rd Ste 103
Naples, FL 34102-5609
Phone (239) 591-2803

Other practice location 2

26741 Dublin Woods Cir
Bonita Springs, FL 34135-7272
Phone (239) 591-2803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200331000086 FL Practitioner - Nurse Practitioner 6709215528 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Telemedicine LLC CurrentSince Mar 27, 2025 Accepting new patients

Locations

6845 Collier Blvd
#103
Naples, FL 34114
Phone (239) 248-7819

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1336772474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110820",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080114",
            "telephone_number": "239-591-2803",
            "fax_number": "239-594-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 EXECUTIVE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199033",
            "telephone_number": "239-248-7819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "661 Goodlette Frank Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025609",
            "country_code": "US",
            "telephone_number": "239-591-2803",
            "fax_number": "239-594-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26741 Dublin Woods Cir",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341357272",
            "country_code": "US",
            "telephone_number": "239-591-2803",
            "fax_number": "239-594-5637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11005934",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11005934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.