Individual provider Active NPI

Alyse M Snider, CNP

  • Nurse Practitioner
  • Bowling Green, OH
National Provider Identifier
1548645203
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
17611-NP Issued in OH
Practice address
1180 N Main St Ste 5
Bowling Green, OH 43402-4932
Phone
(419) 315-1225
Fax
(419) 315-1226
NPI assigned
Jul 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 17611-NP OH Primary

Addresses

Primary practice location

1180 N Main St Ste 5
Bowling Green, OH 43402-4932

Mailing address

1 Seagate Ste 800
Toledo, OH 43604-1558
Phone (419) 315-1225

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asnider17973@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150812007636 OH Practitioner - Nurse Practitioner 1254646722 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Aug 1, 2015 Accepting new patients
Promedica Central Physicians Nurse Practitioner CurrentSince Aug 1, 2015 Accepting new patients
Promedica Central Physicians PastSince Dec 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1180 N Main St
Ste 5
Bowling Green, OH 43402
Phone (419) 315-1225

501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734

506 Van Buren St
Fostoria, OH 44830
Phone (419) 436-1226

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

2751 Bay Park Dr
Ste 209
Oregon, OH 43616
Phone (419) 690-7611

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

1 Seagate
Ste 800
Toledo, OH 43604

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

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.

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1548645203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEAGATE STE 800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041558",
            "telephone_number": "419-315-1225",
            "fax_number": "419-315-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N MAIN ST STE 5",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024932",
            "telephone_number": "419-315-1225",
            "fax_number": "419-315-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "ALYSE",
        "middle_name": "M",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "17611-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asnider17973@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.