Holly Snyder, DC, LAC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011319 Issued in PA

Practice address

418 S Keystone Ave
Sayre, PA 18840-1553

Phone

(570) 886-0385

Fax

(570) 886-0385

NPI assigned

Jan 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renegade Performance LLCGroup PAC ID 4183050057, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Renegade Performance LLC

  • Chiropractor
  • Sayre, PA
  • NPI 1568901577
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1508364688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 S KEYSTONE AVE",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401553",
            "telephone_number": "570-886-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 S KEYSTONE AVE",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401553",
            "telephone_number": "570-886-0385",
            "fax_number": "570-886-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "DC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001293",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Ann Smith, M.S., CCC-SLP
• Ian Phillip Snider, DO
• Bronson Lewis Snoddy
• Carolyn Jean Snyder-Sherman, NP
• Bonnie L. Snyder, PA-C
• Kenneth Sobel, M.D.
• Elizabeth M Sobieraj, M.D.
• Voytek W Sobieraj, M.D.
• Oliver Sogard
• John Thomas Sommer, M.D.

• Chiropractor in Sayre, PA
• Providers in Sayre, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.