Colleen Mary Snyder, F.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

3670 Issued in CA

Practice address

19333 Bear Valley Rd
Apple Valley, CA 92308

Phone

(760) 241-6666

Fax

(760) 247-4368

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rustee Snyder Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1366595886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17095 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456004",
            "telephone_number": "760-241-6666",
            "fax_number": "760-247-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 BEAR VALLEY RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92308",
            "telephone_number": "760-241-6666",
            "fax_number": "760-247-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "COLLEEN",
        "middle_name": "MARY",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "3670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUSTEE",
            "last_name": "SNYDER",
            "credential": "F.N.P.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Richard Keane Smith, PHD CRC
• Jennifer Marie Smithson
• Brooke Ann Snow, FNP
• Ashlie Lee Snowdale
• Pamela D. Snowden
• Jaimie Lynn Snyder
• Marilou Rosales Sobrera, M.D.
• Solano Sped Tutoring (Bright Path Tutoring)
• Alex Solano
• Jenai Solano, BCBA

• Pediatric Nurse Practitioner in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.