Active NPI
Evangelina U Snow, M.D.
- Family Medicine Physician
- Henderson, NV
National Provider Identifier
1366423956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9875
- Practice address
- 100 N Green Valley Pkwy Ste 239
Henderson, NV 89074-7704 - Phone
- (702) 844-4841
- Fax
- (702) 844-4844
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 Medicine Physician | 207Q00000X | 9875 | NV | Primary |
Addresses
Primary practice location
100 N Green Valley Pkwy Ste 239
Henderson, NV 89074-7704
Mailing address
2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002018825 | Medicaid | NV | |
| 9875 | Other | NV | NEVADA LICENSE NUMBER |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snow Medical Center LLC | Family Medicine | Past | Accepting new patients |
| Physicians Medical Center Kaufman, LTD | Past | Accepting new patients | |
| P3 Health Partners Professional Services PC | Family Medicine | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612569600000",
"number": "1366423956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2370 CORPORATE CIR STE 300",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747760",
"telephone_number": "702-910-3950",
"fax_number": "702-786-6650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N GREEN VALLEY PKWY STE 239",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747704",
"telephone_number": "702-844-4841",
"fax_number": "702-844-4844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOW",
"first_name": "EVANGELINA",
"middle_name": "U",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2021-02-06",
"certification_date": "2021-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "9875",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002018825",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA LICENSE NUMBER",
"identifier": "9875",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.