Angela M Snyder, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN07502 Issued in TN

Practice address

395 Forest Cir
Suite 100
Jonesborough, TN 37659-1447

Phone

(423) 753-0721

Fax

(423) 753-0751

NPI assigned

Apr 26, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1578529699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 FOREST CIR",
            "address_2": "SUITE 100",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591447",
            "telephone_number": "423-753-0721",
            "fax_number": "423-753-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 FOREST CIR",
            "address_2": "SUITE 100",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591447",
            "telephone_number": "423-753-0721",
            "fax_number": "423-753-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN07502",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024169573",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3901744",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578529699",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "500027877",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Slade, LPN
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• Brandy Leshea Smart
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• Madison D Smith, MA
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• Michael Amos Stepp, PHARMACIST
• Ashley Paige Stinson, DPT
• Jeffery Stopka

• Family Nurse Practitioner in Jonesborough, TN
• Providers in Jonesborough, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.