Debra Moeller Snyder, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

22 3123142 Issued in NY

Practice address

417 Liberty St
Suite 2120
Penn Yan, NY 14527-1100

Phone

(315) 536-5160

Fax

(315) 536-5146

NPI assigned

Dec 3, 2008

Last updated

Dec 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1679718712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "address_2": "59 MAIN STREET",
            "city": "DRESDEN",
            "state": "NY",
            "postal_code": "144410217",
            "telephone_number": "315-536-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 LIBERTY ST",
            "address_2": "SUITE 2120",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271100",
            "telephone_number": "315-536-5160",
            "fax_number": "315-536-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "DEBRA",
        "middle_name": "MOELLER",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "22 3123142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Simone, DPT
• Cynthia Lou Smart, PRN
• Andrew Paul Smith, O.D.
• Jennifer Ashley Smith, PHARMD
• Kevin Smith, OD
• Lauren R Snyder, RN
• Michele Snyder
• Soldiers & Sailors Memorial Hospital (Soldiers & Sailors Memorial Hospital Hospitalist)
• Soldiers & Sailors Memorial Hospital (Soldiers & Sailors Hospital Swing)
• Soldiers & Sailors Memorial Hospital

• Administrator Registered Nurse in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Administrator Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.