Individual provider Active NPI

Kristine Snyder

  • Family Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1417599465
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004079 Issued in FL
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

Updated by the provider on Apr 8, 2021

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191101000771 FL Practitioner - Nurse Practitioner 8628300167 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11004079FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Chapel Internal Medicine and Pediatrics, PA CurrentSince Oct 15, 2019 Accepting new patients

Locations

2038 Ashley Oaks Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 929-3622

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.