Individual provider Active NPI

Jill B Snider, FNP

  • Family Nurse Practitioner
  • Wytheville, VA
National Provider Identifier
1427227883
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024167068 Issued in VA
Practice address
360 Virginia Ave Ste a
Wytheville, VA 24382-1185
Phone
(276) 335-2116
Fax
(276) 625-8865
NPI assigned
Feb 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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 0024167068 VA Primary

Addresses

Primary practice location

360 Virginia Ave Ste a
Wytheville, VA 24382-1185

Mailing address

360 Virginia Ave Ste a
Wytheville, VA 24382-1185
Phone (276) 228-6499

Other identifiers 1

IdentifierTypeStateIssuer
007696167MedicaidVA

Other names 1

  • Carla Jill Blevins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20080527000431 VA Practitioner - Nurse Practitioner 5395814743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1155 N 4TH St
Suite 502
Wytheville, VA 24382-1097
Phone (276) 227-0375

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Family Care, Inc CurrentSince Apr 22, 2015 Accepting new patients
Wythe County Physician Practices LLC CurrentSince Mar 1, 2025 Accepting new patients
Wythe County Physician Practices LLC CurrentSince Mar 1, 2025 Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

306 S Main St
Rural Retreat, VA 24368
Phone (276) 686-4007

1785 W Lee Hwy
Wytheville, VA 24382
Phone (276) 228-6499

360 Virginia Ave
#A
Wytheville, VA 24382
Phone (276) 227-0375

1155 N 4th St
Ste 502
Wytheville, VA 24382
Phone (276) 223-1334

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • Direct secure messaging: jill.snider.1@19847.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1427227883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 VIRGINIA AVE STE A",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821185",
            "telephone_number": "276-228-6499",
            "fax_number": "276-228-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 VIRGINIA AVE STE A",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821185",
            "telephone_number": "276-335-2116",
            "fax_number": "276-625-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "JILL",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007696167",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "BLEVINS",
            "middle_name": "JILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wytheville, VA

Sources for this page

Verify at the official NPI Registry.