Active NPI
Angela B. Snowden, NP
- Family Nurse Practitioner
- Eaton, OH
National Provider Identifier
1679569941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71000639A
- Practice address
- 815 Brande Dr
Eaton, OH 45320-2562 - Phone
- (373) 363-8979
- NPI assigned
- Sep 22, 2005
- Last updated
- Sep 5, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.17744-NP | OH | |
| Family Nurse Practitioner | 363LF0000X | 71000639A | IN | Primary |
Addresses
Primary practice location
815 Brande Dr
Eaton, OH 45320-2562
Mailing address
815 Brande Dr
Eaton, OH 45320-2562
Phone (937) 336-3897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201320630 | Medicaid | IN |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.17744-NP | OH | MD | Family Nurse Practitioner |
Interoperability endpoints
- asnowden301330@ecommunitydirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1679569941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 BRANDE DR",
"city": "EATON",
"state": "OH",
"postal_code": "453202562",
"telephone_number": "937-336-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 BRANDE DR",
"city": "EATON",
"state": "OH",
"postal_code": "453202562",
"telephone_number": "373-363-8979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOWDEN",
"first_name": "ANGELA",
"middle_name": "B.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-22",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.17744-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71000639A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201320630",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eaton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.