Active NPI
Deboarh Snider, CCH
- Homeopath
- Ketchum, ID
National Provider Identifier
1588319768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homeopath
- Practice address
- 360 9TH St E #23
Ketchum, ID 83340 - Phone
- (208) 471-8530
- NPI assigned
- Feb 16, 2022
- Last updated
- Feb 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homeopath | 175L00000X | Primary |
Addresses
Primary practice location
360 9TH St E #23
Ketchum, ID 83340
Mailing address
PO Box 5621
Ketchum, ID 83340
Phone (847) 894-6477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1588319768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5621",
"city": "KETCHUM",
"state": "ID",
"postal_code": "83340",
"telephone_number": "847-894-6477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 9TH ST E #23",
"city": "KETCHUM",
"state": "ID",
"postal_code": "83340",
"telephone_number": "208-471-8530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "DEBOARH",
"credential": "CCH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-16",
"last_updated": "2022-02-16",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ketchum, ID
- Stephan Arthur Siele, DC
- Keith Thomas Sivertson, M.D.
- Alison Ellan Smart, MS, ATC
- Rene Thomas Smey, OTR/L
- Ali Smith, LCPC
- Joann Sorento, PH.D.
- Wayne Julian Spector, D.M.D.
- St Luke's Medical Center Wood River LTD (St Lukes Clinic Woodriver - Anesthesia)
- St Lukes Clinic - Wood River LLC
- St Lukes Medical Center Woodriver (St Lukes Clinic Woodriver)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.