Individual provider Active NPI

Joshua Snyder

  • Adult Health Nurse Practitioner
  • Holland, MI
National Provider Identifier
1376262550
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704345816 Issued in MI
Practice address
370 120TH Ave
Holland, MI 49424-2120
Phone
(616) 396-5855
NPI assigned
Aug 23, 2022
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704345816 MI Primary

Addresses

Primary practice location

370 120TH Ave
Holland, MI 49424-2120

Mailing address

370 120TH Ave
Holland, MI 49424-2120
Phone (616) 396-5855

Other practice location 1

577 Michigan Ave Ste 104
Holland, MI 49423-4911
Phone (616) 393-5336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20221118001380 MI Practitioner - Nurse Practitioner 2769850940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

370 N 120TH Ave
Suite 20
Holland, MI 49424-2196
Phone (616) 396-5855

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704345816MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Orthopaedic & Sports Medicine Clinic,PLC Single Specialty CurrentSince Dec 31, 2024 Accepting new patients
Shoreline Orthopaedic & Sports Medicine Clinic P L C Single Specialty CurrentSince Dec 31, 2024 Accepting new patients

Locations

370 N 120th Ave
Holland, MI 49424
Phone (616) 396-5855

370 N 120th Ave
Ste 20
Holland, MI 49424
Phone (616) 396-5855

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1376262550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242120",
            "telephone_number": "616-396-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242120",
            "telephone_number": "616-396-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "577 Michigan Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494234911",
            "country_code": "US",
            "telephone_number": "616-393-5336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JOSHUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704345816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.