Kiernan Davis Snedigar, QMHA, BA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

175 W B St Ste J
Springfield, OR 97477

Phone

(541) 762-1971

Fax

(541) 727-5367

NPI assigned

Jul 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1609229590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W B ST STE J",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774594",
            "telephone_number": "417-621-9715",
            "fax_number": "541-727-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W B ST STE J",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "97477",
            "telephone_number": "541-762-1971",
            "fax_number": "541-727-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEDIGAR",
        "first_name": "KIERNAN",
        "middle_name": "DAVIS",
        "credential": "QMHA, BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500711355",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Lee Smith, M.D.
• Tony Lavon Smith Jr.
• Valerie Smith, PA-C
• Whitney Kitchell Smith, DDS
• Leslie P Smoluch, M.D.
• Christy Sno, P.A.-C
• Courtney Snow, DPT
• Elizabeth Snow
• Alice So, MD
• Laura E Sobol

• Mental Health Counselor in Springfield, OR
• Providers in Springfield, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.