Individual provider Active NPI

Tiffanie Renee' Snyder, APRN-CNP

  • Family Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1508418062
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
103936 Issued in WV
Practice address
1804A Harper Rd
Beckley, WV 25801-3331
Phone
(304) 250-6047
Fax
(304) 250-6048
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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 103936 WV Primary

Addresses

Primary practice location

1804A Harper Rd
Beckley, WV 25801-3331

Mailing address

1804A Harper Rd
Beckley, WV 25801-3331
Phone (304) 250-6047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20221216002521 WV Practitioner - Nurse Practitioner 7618346461 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cathy Boyd Physical Medicine LLC Current Accepting new patients
Christopher Grose DC Inc. CurrentSince Oct 31, 2022 Accepting new patients
Cathy Boyd Physical Medicine LLC Family CurrentSince Oct 31, 2022 Accepting new patients
Lumina Kidney Care Inc PastSince Jul 25, 2019 Accepting new patients
Ali Suleiman MD Inc PastSince Sep 28, 2024 Accepting new patients

Locations

1804A Harper Rd
Beckley, WV 25801
Phone (304) 250-6047

Interoperability endpoints

  • Direct secure messaging: tiffanie.snyder@wvafn.hcadirect.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1508418062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804A HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013331",
            "telephone_number": "304-250-6047",
            "fax_number": "304-250-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804A HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013331",
            "telephone_number": "304-250-6047",
            "fax_number": "304-250-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "TIFFANIE",
        "middle_name": "RENEE'",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "103936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.