Individual provider Active NPI

Jodi Snyder, CNP

  • Family Nurse Practitioner
  • New Philadelphia, OH
National Provider Identifier
1366583692
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-08636 Issued in OH
Practice address
1260 Monroe St NW Ste 1a
New Philadelphia, OH 44663-4147
Phone
(330) 602-5339
Fax
(330) 602-4200
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-08636 OH Primary

Addresses

Primary practice location

1260 Monroe St NW Ste 1a
New Philadelphia, OH 44663-4147

Mailing address

1260 Monroe St NW Ste 1a
New Philadelphia, OH 44663-4147
Phone (330) 602-5339

Other identifiers 2

IdentifierTypeStateIssuer
2005010276-22OtherOHBOARD CERTIFICATION NP
NP-08636OtherOHOHIO BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130207000354 OH Order and Referring Only - Nurse Practitioner 2062601883

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-08636OHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1366583692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 MONROE ST NW STE 1A",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446634147",
            "telephone_number": "330-602-5339",
            "fax_number": "330-602-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 MONROE ST NW STE 1A",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446634147",
            "telephone_number": "330-602-5339",
            "fax_number": "330-602-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JODI",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-08636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION NP",
            "identifier": "2005010276-22",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "NP-08636",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, OH

Sources for this page

Verify at the official NPI Registry.