Individual provider Active NPI

Reuben Snow, PMHNP - BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1669356473
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
328418 Issued in AZ
Practice address
2187 N Vickey St
Flagstaff, AZ 86004-6121
Phone
(928) 527-1899
NPI assigned
Aug 4, 2025
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 328418 AZ Primary

Addresses

Primary practice location

2187 N Vickey St
Flagstaff, AZ 86004-6121

Mailing address

2805 N Rose St
Flagstaff, AZ 86004-3630
Phone (928) 814-8283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20251120000837 AZ Practitioner - Nurse Practitioner 7416449293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidance Center, Inc.Group PAC ID 0143132076, 18 clinicians

Practice addresses (Care Compare)

2187 N Vickey St
Flagstaff, AZ 86004-6121
Phone (928) 527-1899

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
328418AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guidance Center Inc CurrentSince Oct 1, 2025 Accepting new patients
Guidance Center Inc Current Accepting new patients
Guidance Center Inc CurrentSince Oct 1, 2025 Accepting new patients

Locations

2187 N Vickey St
Flagstaff, AZ 86004
Phone (928) 527-1899

2695 E Industrial Dr
Flagstaff, AZ 86004
Phone (928) 527-1899

Interoperability endpoints

  • Direct secure messaging: reuben.snow.p1@direct.tgcaz.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1669356473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 N ROSE ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043630",
            "telephone_number": "928-814-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2187 N VICKEY ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860046121",
            "telephone_number": "928-527-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "REUBEN",
        "credential": "PMHNP - BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "328418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.