Active NPI
Kristine Snyder
- Family Nurse Practitioner
- Wesley Chapel, FL
National Provider Identifier
1417599465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11004079
- Practice address
- 2038 Ashley Oaks Cir Ste 102
Wesley Chapel, FL 33544-6413 - Phone
- (813) 929-3622
- NPI assigned
- Oct 10, 2019
- Sex
- Female
- Sole proprietor
- No
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 Nurse Practitioner | 363LF0000X | APRN11004079 | FL | Primary |
Addresses
Primary practice location
2038 Ashley Oaks Cir Ste 102
Wesley Chapel, FL 33544-6413
Mailing address
1735 Cameron CT
Trinity, FL 34655-0006
Phone (727) 729-0406
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11004079 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley Chapel Internal Medicine and Pediatrics, PA | Current | Accepting new patients |
Locations
2038 Ashley Oaks Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 929-3622
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDHBDA
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.
-
- Internal Medicine Physician
- Wesley Chapel, FL
- NPI 1447447313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1417599465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 CAMERON CT",
"city": "TRINITY",
"state": "FL",
"postal_code": "346550006",
"telephone_number": "727-729-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2038 ASHLEY OAKS CIR STE 102",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335446413",
"telephone_number": "813-929-3622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "KRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-10",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11004079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.